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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,698.24 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,754.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,454.71 Median $3,311.31 Typical High $3,311.31 | Professional | 22 · Increased work | $2,454.71 | $3,311.31 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $416.87 | $549.54 | $549.54 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $173.78 | $229.09 | $229.09 |
Cigna Setting Facility Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | RR · Rental | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,344.23 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $9,772.37 | Facility | None | $1,698.24 | $1,862.09 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,513.56 | $2,187.76 |
Medica Setting Professional Modifier RR · Rental Typical Low $87.10 Median $147.91 Typical High $208.93 | Professional | RR · Rental | $87.10 | $147.91 | $208.93 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,513.56 Typical High $2,187.76 | Professional | None | $724.44 | $1,513.56 | $2,187.76 |
United Setting Professional Modifier RR · Rental Typical Low $70.79 Median $147.91 Typical High $208.93 | Professional | RR · Rental | $70.79 | $147.91 | $208.93 |
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 $812.83 Median $1,122.02 Typical High $1,659.59 | Professional | UE · Used equipment | $812.83 | $1,122.02 | $1,659.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $1,122.02 Typical High $1,659.59 | Professional | UE · Used equipment | $549.54 | $1,122.02 | $1,659.59 |
Where North Dakota sits
The same service costs 10.5 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· 2nd of 51
$2,344
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.