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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | None | $95.50 | $95.50 | $104.71 |
BCBS North Dakota Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $229.09 | Professional | None | $154.88 | $208.93 | $229.09 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $251.19 Typical High $275.42 | Professional | 22 · Increased work | $186.21 | $251.19 | $275.42 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $41.69 Typical High $45.71 | Professional | 55 · Aftercare only | $30.90 | $41.69 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None | $100.00 | $100.00 | $125.89 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $288.40 | Facility | None | $95.50 | $95.50 | $288.40 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $588.84 | Professional | None | $100.00 | $190.55 | $588.84 |
United Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $199.53 | Professional | None | $100.00 | $169.82 | $199.53 |
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 Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $19.05 | $20.89 |
Where North Dakota sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 3rd of 51
$178
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.