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 $10.23 Median $10.23 Typical High $20.89 | Facility | None | $10.23 | $10.23 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $10.23 Typical High $10.23 | Professional | None | $4.68 | $10.23 | $10.23 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $7.59 Typical High $7.59 | Professional | UE · Used equipment | $3.47 | $7.59 | $7.59 |
BCBS North Dakota Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $15.85 | Professional | None | $11.75 | $15.49 | $15.85 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $14.13 Median $18.62 Typical High $19.05 | Professional | 22 · Increased work | $14.13 | $18.62 | $19.05 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.62 Typical High $1.66 | Professional | RR · Rental | $1.23 | $1.62 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $26.92 | Facility | None | $23.44 | $23.44 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.62 | Professional | None | $15.14 | $15.14 | $18.62 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $20.89 | Facility | None | $10.23 | $10.23 | $20.89 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $5.89 Typical High $11.75 | Professional | None | $5.13 | $5.89 | $11.75 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.52 Median $0.62 Typical High $1.17 | Professional | RR · Rental | $0.52 | $0.62 | $1.17 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $3.89 Median $4.47 Typical High $8.32 | Professional | UE · Used equipment | $3.89 | $4.47 | $8.32 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $11.22 | Professional | None | $4.68 | $5.89 | $11.22 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.62 Typical High $1.15 | Professional | RR · Rental | $0.48 | $0.62 | $1.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.47 Typical High $8.32 | Professional | UE · Used equipment | $3.47 | $4.47 | $8.32 |
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 MS · Maintenance fee Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | MS · Maintenance fee | $1.05 | $1.05 | $1.05 |
Where North Dakota sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 6th of 51
$13.18
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.