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 $0.63 Median $0.63 Typical High $0.63 | Facility | None | $0.63 | $0.63 | $0.63 |
Aetna Setting Professional Modifier None Typical Low $0.41 Median $0.63 Typical High $0.63 | Professional | None | $0.41 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.06 | $0.09 | $0.09 |
BCBS North Dakota Setting Professional Modifier None Typical Low $0.78 Median $1.02 Typical High $1.12 | Professional | None | $0.78 | $1.02 | $1.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $0.91 Median $1.23 Typical High $1.35 | Professional | 22 · Increased work | $0.91 | $1.23 | $1.35 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.20 Typical High $0.23 | Professional | 55 · Aftercare only | $0.15 | $0.20 | $0.23 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.41 | Professional | None | $1.12 | $1.12 | $1.41 |
Medica Setting Facility Modifier None Typical Low $0.63 Median $0.63 Typical High $1.91 | Facility | None | $0.63 | $0.63 | $1.91 |
Medica Setting Professional Modifier None Typical Low $0.36 Median $0.43 Typical High $5.25 | Professional | None | $0.36 | $0.43 | $5.25 |
United Setting Professional Modifier None Typical Low $0.27 Median $0.43 Typical High $0.72 | Professional | None | $0.27 | $0.43 | $0.72 |
1 more rate 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 56 · Pre-op care only Typical Low $0.04 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.04 | $0.06 | $0.06 |
Where North Dakota sits
The same service costs 2.9 times more in Minnesota than in Ohio. 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· 12th of 51
$0.78
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.