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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None | $245.47 | $245.47 | $309.03 |
BCBS North Dakota Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $275.42 | Professional | None | $208.93 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $251.19 Median $281.84 Typical High $331.13 | Professional | 22 · Increased work | $251.19 | $281.84 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $190.55 | Facility | None | $165.96 | $165.96 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $316.23 | Professional | None | $257.04 | $269.15 | $316.23 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $416.87 | Facility | None | $234.42 | $234.42 | $416.87 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $275.42 | Professional | None | $245.47 | $251.19 | $275.42 |
United Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $288.40 | Professional | None | $245.47 | $257.04 | $288.40 |
4 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 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $30.90 |
Where North Dakota sits
The same service costs 1.7 times more in Alaska than in Indiana. 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· 48th of 51
$257
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.