How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $181.97 Median $181.97 Typical High $263.03 | Facility | None | $181.97 | $181.97 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $478.63 | Professional | None | $173.78 | $239.88 | $478.63 |
BCBS North Dakota Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $691.83 | Professional | None | $338.84 | $457.09 | $691.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $91.20 Typical High $138.04 | Professional | 55 · Aftercare only | $67.61 | $91.20 | $138.04 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | 56 · Pre-op care only | $33.88 | $45.71 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $457.09 Typical High $741.31 | Professional | None | $281.84 | $457.09 | $741.31 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $537.03 | Facility | None | $181.97 | $263.03 | $537.03 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $1,737.80 | Professional | None | $239.88 | $478.63 | $1,737.80 |
United Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $478.63 | Professional | None | $186.21 | $302.00 | $478.63 |
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 Facility Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $131.83 | Facility | 52 · Reduced service | $91.20 | $91.20 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $104.71 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $104.71 | $131.83 |
Where North Dakota sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 3rd of 51
$398
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.