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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,380.38 Typical High $1,380.38 | Professional | None | $794.33 | $1,380.38 | $1,380.38 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,819.70 | $2,454.71 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,187.76 Median $2,884.03 Typical High $2,951.21 | Professional | 22 · Increased work | $2,187.76 | $2,884.03 | $2,951.21 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $363.08 | $489.78 | $489.78 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $151.36 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $151.36 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,089.30 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $9,772.37 | Facility | None | $1,380.38 | $1,445.44 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,445.44 | Professional | None | $707.95 | $1,000.00 | $1,445.44 |
Medica Setting Professional Modifier RR · Rental Typical Low $69.18 Median $104.71 Typical High $151.36 | Professional | RR · Rental | $69.18 | $104.71 | $151.36 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,479.11 | Professional | None | $537.03 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $104.71 Typical High $151.36 | Professional | RR · Rental | $69.18 | $104.71 | $151.36 |
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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $741.31 Typical High $1,071.52 | Professional | UE · Used equipment | $537.03 | $741.31 | $1,071.52 |
United Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $741.31 Typical High $1,096.48 | Professional | UE · Used equipment | $407.38 | $741.31 | $1,096.48 |
Where North Dakota sits
The same service costs 14.5 times more in North Dakota 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· 1st of 51
$2,042
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.