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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $24.55 Typical High $25.12 | Professional | None (both parts) | $18.20 | $24.55 | $25.12 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $43.65 | $48.98 | $58.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $52.48 Median $58.88 Typical High $69.18 | Professional | 22 · Increased work | $52.48 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.77 Typical High $11.75 | Professional | 55 · Aftercare only | $8.71 | $9.77 | $11.75 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $72.44 | Facility | None | $24.55 | $24.55 | $72.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
Where North Dakota sits
The same service costs 20.9 times more in Arizona than in New Jersey. 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· 10th of 51
$48.98
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.