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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
BCBS North Dakota Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $95.50 | Professional | None | $69.18 | $81.28 | $95.50 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $83.18 Median $95.50 Typical High $114.82 | Professional | 22 · Increased work | $83.18 | $95.50 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $109.65 | Professional | None | $85.11 | $87.10 | $109.65 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $138.04 | Facility | None | $72.44 | $81.28 | $138.04 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $338.84 | Professional | None | $81.28 | $91.20 | $338.84 |
United Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | None | $81.28 | $87.10 | $102.33 |
3 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 $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $12.88 |
Where North Dakota sits
Rates are fairly even across states for this service. 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· 17th of 51
$87.10
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.