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 $123.03 Median $128.82 Typical High $186.21 | Facility | None | $123.03 | $128.82 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $186.21 | Professional | None | $123.03 | $147.91 | $186.21 |
BCBS North Dakota Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $512.86 | Professional | None | $208.93 | $338.84 | $512.86 |
BCBS North Dakota Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $165.96 Typical High $257.04 | Professional | 53 · Discontinued | $104.71 | $165.96 | $257.04 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $67.61 Typical High $102.33 | Professional | 55 · Aftercare only | $41.69 | $67.61 | $102.33 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $33.88 Typical High $51.29 | Professional | 56 · Pre-op care only | $20.89 | $33.88 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $478.63 | Professional | None | $251.19 | $371.54 | $478.63 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $371.54 | Facility | None | $123.03 | $186.21 | $371.54 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $891.25 | Professional | None | $186.21 | $323.59 | $891.25 |
United Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $331.13 | Professional | None | $125.89 | $218.78 | $331.13 |
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 $61.66 Median $63.10 Typical High $93.33 | Facility | 52 · Reduced service | $61.66 | $63.10 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $77.62 | $93.33 |
Where North Dakota sits
The same service costs 2.8 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
$295
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.