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 $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.91 Typical High $1.91 | Professional | None | $1.32 | $1.91 | $1.91 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $5.89 Median $7.76 Typical High $7.94 | Professional | 22 · Increased work | $5.89 | $7.76 | $7.94 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $4.90 Median $6.46 Typical High $6.61 | Professional | RR · Rental | $4.90 | $6.46 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Facility | None | $9.33 | $9.33 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.59 | Professional | None | $6.03 | $6.03 | $7.59 |
Medica Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $3.31 | Facility | None | $1.91 | $1.91 | $3.31 |
Medica Setting Professional Modifier None Typical Low $1.07 Median $1.29 Typical High $2.19 | Professional | None | $1.07 | $1.29 | $2.19 |
United Setting Professional Modifier None Typical Low $0.79 Median $1.29 Typical High $2.14 | Professional | None | $0.79 | $1.29 | $2.14 |
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 55 · Aftercare only Typical Low $0.22 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.22 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.15 | $0.19 | $0.19 |
Where North Dakota sits
The same service costs 6.0 times more in Minnesota than in Rhode Island. 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· 31st of 51
$1.91
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.