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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,096.48 | Professional | None | $954.99 | $1,096.48 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,905.46 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,698.24 Median $2,290.87 Typical High $2,290.87 | Professional | 22 · Increased work | $1,698.24 | $2,290.87 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $288.40 | $380.19 | $380.19 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $120.23 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $120.23 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,621.81 | $1,621.81 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $6,760.83 | Facility | None | $1,096.48 | $1,148.15 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,348.96 | Professional | None | $660.69 | $933.25 | $1,348.96 |
Medica Setting Professional Modifier RR · Rental Typical Low $53.70 Median $83.18 Typical High $120.23 | Professional | RR · Rental | $53.70 | $83.18 | $120.23 |
United Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $1,380.38 | Professional | None | $512.86 | $933.25 | $1,380.38 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $83.18 Typical High $120.23 | Professional | RR · Rental | $53.70 | $83.18 | $120.23 |
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 $501.19 Median $691.83 Typical High $1,023.29 | Professional | UE · Used equipment | $501.19 | $691.83 | $1,023.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $691.83 Typical High $1,023.29 | Professional | UE · Used equipment | $380.19 | $691.83 | $1,023.29 |
Where North Dakota sits
The same service costs 4.6 times more in Kansas 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
$1,622
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.