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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,801.89 | $4,570.88 | $4,570.88 |
BCBS North Dakota Setting Professional Modifier None Typical Low $5,754.40 Median $7,585.78 Typical High $7,585.78 | Professional | None | $5,754.40 | $7,585.78 | $7,585.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $6,918.31 Median $9,120.11 Typical High $9,120.11 | Professional | 22 · Increased work | $6,918.31 | $9,120.11 | $9,120.11 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $1,148.15 Median $1,513.56 Typical High $1,513.56 | Professional | 55 · Aftercare only | $1,148.15 | $1,513.56 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $478.63 Median $630.96 Typical High $630.96 | Professional | RR · Rental | $478.63 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $8,128.31 | Professional | None | $6,456.54 | $6,456.54 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $21,379.62 | Facility | None | $4,570.88 | $4,897.79 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $5,128.61 | Professional | None | $2,570.40 | $3,548.13 | $5,128.61 |
Medica Setting Professional Modifier RR · Rental Typical Low $251.19 Median $380.19 Typical High $549.54 | Professional | RR · Rental | $251.19 | $380.19 | $549.54 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $3,548.13 Typical High $5,128.61 | Professional | None | $1,621.81 | $3,548.13 | $5,128.61 |
United Setting Professional Modifier RR · Rental Typical Low $213.80 Median $380.19 Typical High $549.54 | Professional | RR · Rental | $213.80 | $380.19 | $549.54 |
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 $1,905.46 Median $2,691.53 Typical High $3,890.45 | Professional | UE · Used equipment | $1,905.46 | $2,691.53 | $3,890.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $2,691.53 Typical High $3,890.45 | Professional | UE · Used equipment | $1,202.26 | $2,691.53 | $3,890.45 |
Where North Dakota sits
The same service costs 14.8 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
$6,457
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.