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 $295.12 Median $537.03 Typical High $1,445.44 | Facility | None | $295.12 | $537.03 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $316.23 | Professional | None | $208.93 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $44.67 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $44.67 | $47.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $263.03 Median $512.86 Typical High $912.01 | Facility | None | $263.03 | $512.86 | $912.01 |
BCBS North Dakota Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $239.88 | Professional | None | $165.96 | $208.93 | $239.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $199.53 Median $245.47 Typical High $288.40 | Professional | 22 · Increased work | $199.53 | $245.47 | $288.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $41.69 Typical High $47.86 | Professional | 55 · Aftercare only | $33.11 | $41.69 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Facility | None | $218.78 | $218.78 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $173.78 | Professional | None | $141.25 | $158.49 | $173.78 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $512.86 | Facility | None | $204.17 | $354.81 | $512.86 |
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 $104.71 Median $147.91 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $29.51 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $29.51 | $31.62 |
Where North Dakota sits
The same service costs 5.2 times more in Alaska than in Georgia. 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· 10th of 51
$219
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.