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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,584.89 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,691.53 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,454.71 Median $3,235.94 Typical High $3,235.94 | Professional | 22 · Increased work | $2,454.71 | $3,235.94 | $3,235.94 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $407.38 | $537.03 | $537.03 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $169.82 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $169.82 | $223.87 | $223.87 |
Cigna Setting Facility Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | RR · Rental | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,344.23 Typical High $2,884.03 | Professional | None | $2,290.87 | $2,344.23 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $9,549.93 | Facility | None | $1,584.89 | $1,778.28 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,949.84 | Professional | None | $954.99 | $1,348.96 | $1,949.84 |
Medica Setting Professional Modifier RR · Rental Typical Low $85.11 Median $138.04 Typical High $194.98 | Professional | RR · Rental | $85.11 | $138.04 | $194.98 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,949.84 | Professional | None | $724.44 | $1,348.96 | $1,949.84 |
United Setting Professional Modifier RR · Rental Typical Low $70.79 Median $138.04 Typical High $194.98 | Professional | RR · Rental | $70.79 | $138.04 | $194.98 |
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 $724.44 Median $1,000.00 Typical High $1,479.11 | Professional | UE · Used equipment | $724.44 | $1,000.00 | $1,479.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $1,000.00 Typical High $1,479.11 | Professional | UE · Used equipment | $537.03 | $1,000.00 | $1,479.11 |
Where North Dakota sits
The same service costs 20.9 times more in Kansas 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· 3rd of 51
$2,291
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.