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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,230.27 | Professional | None | $977.24 | $1,230.27 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,137.96 | Professional | None | $1,584.89 | $2,089.30 | $2,137.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,905.46 Median $2,511.89 Typical High $2,570.40 | Professional | 22 · Increased work | $1,905.46 | $2,511.89 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $316.23 | $426.58 | $426.58 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $131.83 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $131.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,819.70 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $8,511.38 | Facility | None | $1,230.27 | $1,258.93 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,288.25 | Professional | None | $630.96 | $891.25 | $1,288.25 |
Medica Setting Professional Modifier RR · Rental Typical Low $60.26 Median $91.20 Typical High $131.83 | Professional | RR · Rental | $60.26 | $91.20 | $131.83 |
United Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $1,318.26 | Professional | None | $478.63 | $891.25 | $1,318.26 |
United Setting Professional Modifier RR · Rental Typical Low $60.26 Median $91.20 Typical High $131.83 | Professional | RR · Rental | $60.26 | $91.20 | $131.83 |
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 $478.63 Median $660.69 Typical High $954.99 | Professional | UE · Used equipment | $478.63 | $660.69 | $954.99 |
United Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $660.69 Typical High $977.24 | Professional | UE · Used equipment | $363.08 | $660.69 | $977.24 |
Where North Dakota sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 2nd of 51
$1,778
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.