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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $79.43 | Professional | None | $35.48 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.59 Typical High $11.75 | Professional | 55 · Aftercare only | $5.75 | $7.59 | $11.75 |
BCBS North Dakota Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $38.02 | Facility | None | $37.15 | $37.15 | $38.02 |
BCBS North Dakota Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $41.69 | Professional | None | $28.18 | $35.48 | $41.69 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $33.88 Median $42.66 Typical High $48.98 | Professional | 22 · Increased work | $33.88 | $42.66 | $48.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $5.62 | $7.08 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $93.33 | Professional | None | $39.81 | $48.98 | $93.33 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $50.12 Typical High $85.11 | Facility | None | $9.33 | $50.12 | $85.11 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $660.69 | Professional | None | $42.66 | $42.66 | $660.69 |
United Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | None | $42.66 | $42.66 | $47.86 |
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 $3.80 Median $5.01 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.80 | $5.01 | $7.94 |
Where North Dakota sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 41st of 51
$42.66
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.