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 $61.66 Median $61.66 Typical High $64.57 | Facility | None | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $64.57 | Professional | None | $57.54 | $61.66 | $64.57 |
BCBS North Dakota Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $151.36 | Professional | None | $97.72 | $120.23 | $151.36 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | 55 · Aftercare only | $19.95 | $23.99 | $30.20 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $9.77 | $12.02 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $87.10 | Professional | None | $64.57 | $69.18 | $87.10 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $181.97 | Facility | None | $61.66 | $64.57 | $181.97 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $407.38 | Professional | None | $60.26 | $120.23 | $407.38 |
United Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $128.82 | Professional | None | $54.95 | $83.18 | $128.82 |
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 $30.90 Median $30.90 Typical High $32.36 | Facility | 52 · Reduced service | $30.90 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $28.84 | $30.90 | $32.36 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 4th of 51
$102
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.