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 $52.48 Median $91.20 Typical High $91.20 | Facility | None | $52.48 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $91.20 | Professional | None | $52.48 | $83.18 | $91.20 |
BCBS North Dakota Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $338.84 | Professional | None | $134.90 | $218.78 | $338.84 |
BCBS North Dakota Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $109.65 Typical High $169.82 | Professional | 53 · Discontinued | $67.61 | $109.65 | $169.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $43.65 Typical High $67.61 | Professional | 55 · Aftercare only | $26.92 | $43.65 | $67.61 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $13.49 | $21.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $380.19 | Professional | None | $251.19 | $302.00 | $380.19 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $194.98 | Facility | None | $52.48 | $91.20 | $194.98 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $575.44 | Professional | None | $93.33 | $186.21 | $575.44 |
United Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $186.21 | Professional | None | $53.70 | $104.71 | $186.21 |
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 $26.30 Median $40.74 Typical High $45.71 | Facility | 52 · Reduced service | $26.30 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $26.30 | $40.74 | $45.71 |
Where North Dakota sits
The same service costs 3.4 times more in Alaska 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
$186
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.