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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $208.93 | Professional | None | $138.04 | $208.93 | $208.93 |
BCBS North Dakota Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $354.81 | Professional | None | $269.15 | $354.81 | $354.81 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $323.59 Median $426.58 Typical High $426.58 | Professional | 22 · Increased work | $323.59 | $426.58 | $426.58 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $22.39 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $22.39 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $380.19 | Professional | None | $302.00 | $302.00 | $380.19 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $1,230.27 | Facility | None | $208.93 | $223.87 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $251.19 | Professional | None | $109.65 | $173.78 | $251.19 |
Medica Setting Professional Modifier RR · Rental Typical Low $11.22 Median $17.78 Typical High $25.12 | Professional | RR · Rental | $11.22 | $17.78 | $25.12 |
United Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $251.19 | Professional | None | $93.33 | $173.78 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $9.12 Median $17.78 Typical High $25.12 | Professional | RR · Rental | $9.12 | $17.78 | $25.12 |
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 $83.18 Median $128.82 Typical High $190.55 | Professional | UE · Used equipment | $83.18 | $128.82 | $190.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $128.82 Typical High $190.55 | Professional | UE · Used equipment | $70.79 | $128.82 | $190.55 |
Where North Dakota sits
The same service costs 22.4 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
$302
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.