How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | None | $51.29 | $54.95 | $63.10 |
BCBS North Dakota Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $125.89 | Professional | None | $91.20 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $123.03 | Professional | None | $67.61 | $93.33 | $123.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $165.96 | Facility | None | $54.95 | $54.95 | $165.96 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $107.15 Typical High $346.74 | Professional | None | $50.12 | $107.15 | $346.74 |
United Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $123.03 | Professional | None | $47.86 | $81.28 | $123.03 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.23 | $11.22 | $11.22 |
Where North Dakota sits
The same service costs 2.6 times more in Nebraska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Dakota· 2nd of 51
$105
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.