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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | None | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.91 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.63 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.69 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.82 |
BCBS North Dakota Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $63.10 | Professional | None | $20.42 | $20.42 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $30.90 | Professional | None | $24.55 | $25.12 | $30.90 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $48.98 | Facility | None | $16.22 | $16.22 | $48.98 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $123.03 | Professional | None | $7.76 | $8.13 | $123.03 |
United Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $19.05 | Professional | None | $7.76 | $8.13 | $19.05 |
Where North Dakota sits
The same service costs 3.0 times more in Montana 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· 13th of 51
$17.78
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.