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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $75.86 | Professional | None | $63.10 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $9.33 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.41 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.31 | $7.41 | $7.59 |
BCBS North Dakota Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | None | $104.71 | $104.71 | $131.83 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $218.78 | Facility | None | $74.13 | $74.13 | $218.78 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $489.78 | Professional | None | $31.62 | $35.48 | $489.78 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $70.79 | Professional | None | $29.51 | $29.51 | $70.79 |
Where North Dakota sits
The same service costs 3.6 times more in Hawaii 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
$105
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.