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 $23.44 Median $26.30 Typical High $26.30 | Facility | None | $23.44 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $27.54 | Professional | None | $23.44 | $26.30 | $27.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $81.28 | Professional | None | $46.77 | $60.26 | $81.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $9.33 | $12.02 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $44.67 | Professional | None | $33.11 | $41.69 | $44.67 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $70.79 | Facility | None | $23.44 | $26.30 | $70.79 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $154.88 Typical High $165.96 | Professional | None | $34.67 | $154.88 | $165.96 |
United Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $51.29 | Professional | None | $23.99 | $39.81 | $51.29 |
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 $11.75 Median $13.18 Typical High $13.18 | Facility | 52 · Reduced service | $11.75 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.18 Typical High $13.80 | Professional | 52 · Reduced service | $11.75 | $13.18 | $13.80 |
Where North Dakota sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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· 1st of 51
$50.12
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.