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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $83.18 | Professional | None | $66.07 | $81.28 | $83.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $213.80 | Professional | None | $144.54 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $173.78 Median $218.78 Typical High $251.19 | Professional | 22 · Increased work | $173.78 | $218.78 | $251.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $36.31 Typical High $42.66 | Professional | 55 · Aftercare only | $28.84 | $36.31 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $257.04 Typical High $323.59 | Professional | None | $66.07 | $257.04 | $323.59 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $269.15 | Facility | None | $83.18 | $83.18 | $269.15 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $851.14 | Professional | None | $173.78 | $288.40 | $851.14 |
United Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $398.11 | Professional | None | $173.78 | $269.15 | $398.11 |
2 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 $33.11 Median $39.81 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $39.81 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $16.22 | $16.60 |
Where North Dakota sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 11th of 51
$195
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.