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 $0.08 Median $0.08 Typical High $0.08 | Facility | None | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
BCBS North Dakota Setting Professional Modifier None Typical Low $0.06 Median $0.07 Typical High $0.08 | Professional | None | $0.06 | $0.07 | $0.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $0.07 Median $0.08 Typical High $0.10 | Professional | 22 · Increased work | $0.07 | $0.08 | $0.10 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Medica Setting Facility Modifier None Typical Low $0.07 Median $0.08 Typical High $0.23 | Facility | None | $0.07 | $0.08 | $0.23 |
Medica Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | None | $0.07 | $0.07 | $0.08 |
United Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.09 | Professional | None | $0.07 | $0.08 | $0.09 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Where North Dakota sits
The same service costs 2.9 times more in North Carolina than in Alabama. 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· 9th of 51
$0.08
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.