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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | None | $7.94 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.41 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.41 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $52.48 | Professional | None | $33.88 | $43.65 | $52.48 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $40.74 Median $52.48 Typical High $61.66 | Professional | 22 · Increased work | $40.74 | $52.48 | $61.66 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.91 Typical High $10.47 | Professional | 55 · Aftercare only | $6.76 | $8.91 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $17.38 | Professional | None | $13.80 | $14.13 | $17.38 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $23.99 | Facility | None | $7.94 | $7.94 | $23.99 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $0.93 |
Where North Dakota sits
The same service costs 331.1 times more in New Jersey than in New York. 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· 3rd of 51
$38.90
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.