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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $138.04 | Professional | None | $79.43 | $138.04 | $138.04 |
BCBS North Dakota Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | None | $199.53 | $234.42 | $234.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | 22 · Increased work | $239.88 | $281.84 | $281.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $39.81 | $46.77 | $46.77 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $16.60 Median $19.50 Typical High $19.50 | Professional | RR · Rental | $16.60 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None | $204.17 | $204.17 | $251.19 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $144.54 Typical High $912.01 | Facility | None | $138.04 | $144.54 | $912.01 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $194.98 | Professional | None | $72.44 | $131.83 | $194.98 |
United Setting Professional Modifier None Typical Low $64.57 Median $131.83 Typical High $186.21 | Professional | None | $64.57 | $131.83 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $6.46 Median $13.18 Typical High $19.50 | Professional | RR · Rental | $6.46 | $13.18 | $19.50 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $97.72 Typical High $141.25 | Professional | UE · Used equipment | $48.98 | $97.72 | $141.25 |
Where North Dakota sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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· 4th of 51
$200
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.