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 $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $10,232.93 Median $11,220.18 Typical High $11,220.18 | Professional | None | $10,232.93 | $11,220.18 | $11,220.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $20,892.96 | Professional | None | $15,848.93 | $20,892.96 | $20,892.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $18,620.87 Median $25,118.86 Typical High $25,118.86 | Professional | 22 · Increased work | $18,620.87 | $25,118.86 | $25,118.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3,162.28 Median $4,168.69 Typical High $4,168.69 | Professional | 55 · Aftercare only | $3,162.28 | $4,168.69 | $4,168.69 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,737.80 Typical High $1,737.80 | Professional | RR · Rental | $1,318.26 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $22,387.21 | Professional | None | $17,782.79 | $17,782.79 | $22,387.21 |
Medica Setting Facility Modifier None Typical Low $9,332.54 Median $11,220.18 Typical High $33,884.42 | Facility | None | $9,332.54 | $11,220.18 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $10,964.78 | Professional | None | $5,248.07 | $7,244.36 | $10,964.78 |
Medica Setting Professional Modifier RR · Rental Typical Low $616.60 Median $724.44 Typical High $1,258.93 | Professional | RR · Rental | $616.60 | $724.44 | $1,258.93 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $10,964.78 | Professional | None | $5,248.07 | $7,244.36 | $10,964.78 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $724.44 Typical High $1,258.93 | Professional | RR · Rental | $512.86 | $724.44 | $1,258.93 |
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 $3,890.45 Median $5,495.41 Typical High $8,128.31 | Professional | UE · Used equipment | $3,890.45 | $5,495.41 | $8,128.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $5,495.41 Typical High $8,128.31 | Professional | UE · Used equipment | $3,890.45 | $5,495.41 | $8,128.31 |
Where North Dakota sits
The same service costs 8.3 times more in North Dakota than in Washington. 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
$17,783
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.