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 $9.55 Median $10.23 Typical High $18.20 | Facility | None | $9.55 | $10.23 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $15.14 Typical High $20.89 | Professional | None | $8.51 | $15.14 | $20.89 |
BCBS North Dakota Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $43.65 | Professional | None | $15.85 | $25.12 | $43.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $5.01 Typical High $8.71 | Professional | 55 · Aftercare only | $3.24 | $5.01 | $8.71 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $2.51 Typical High $4.37 | Professional | 56 · Pre-op care only | $1.58 | $2.51 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $25.12 | Professional | None | $9.77 | $15.14 | $25.12 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $18.20 Typical High $30.90 | Facility | None | $9.55 | $18.20 | $30.90 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $117.49 | Professional | None | $17.78 | $33.88 | $117.49 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $36.31 | Professional | None | $9.77 | $18.62 | $36.31 |
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 Facility Modifier 52 · Reduced service Typical Low $4.79 Median $5.13 Typical High $9.12 | Facility | 52 · Reduced service | $4.79 | $5.13 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $6.03 Typical High $9.12 | Professional | 52 · Reduced service | $4.79 | $6.03 | $9.12 |
Where North Dakota sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 9th of 51
$18.62
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.