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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
BCBS North Dakota Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Facility | None | $30.90 | $30.90 | $31.62 |
BCBS North Dakota Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $31.62 | Professional | None | $23.44 | $26.92 | $31.62 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $28.18 Median $32.36 Typical High $38.02 | Professional | 22 · Increased work | $28.18 | $32.36 | $38.02 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.37 Typical High $6.46 | Professional | 55 · Aftercare only | $4.68 | $5.37 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $36.31 | Professional | None | $28.84 | $29.51 | $36.31 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $45.71 | Facility | None | $19.95 | $19.95 | $45.71 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $30.20 | Professional | None | $19.95 | $22.39 | $30.20 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $30.90 | Professional | None | $24.55 | $26.30 | $30.90 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Where North Dakota sits
The same service costs 2.8 times more in Wyoming than in Arizona. 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· 47th of 51
$28.84
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.