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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | None | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.31 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.31 |
BCBS North Dakota Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS North Dakota Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $42.66 | Professional | None | $30.90 | $35.48 | $42.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | 22 · Increased work | $37.15 | $42.66 | $51.29 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.08 Typical High $8.51 | Professional | 55 · Aftercare only | $6.17 | $7.08 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $48.98 | Professional | None | $38.02 | $38.90 | $48.98 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $37.15 Typical High $63.10 | Facility | None | $33.88 | $37.15 | $63.10 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $48.98 | Professional | None | $37.15 | $41.69 | $48.98 |
United Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $50.12 | Professional | None | $39.81 | $41.69 | $50.12 |
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 $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $4.17 |
Where North Dakota sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 22nd of 51
$39.81
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.