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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | None | $97.72 | $107.15 | $107.15 |
BCBS North Dakota Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | None | $138.04 | $162.18 | $162.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 22 · Increased work | $165.96 | $194.98 | $194.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $32.36 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $13.80 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $204.17 | Professional | None | $165.96 | $165.96 | $204.17 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $676.08 | Facility | None | $107.15 | $117.49 | $676.08 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $144.54 | Professional | None | $66.07 | $97.72 | $144.54 |
United Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $138.04 | Professional | None | $52.48 | $97.72 | $138.04 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $9.77 Typical High $13.80 | Professional | RR · Rental | $5.25 | $9.77 | $13.80 |
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 $39.81 Median $72.44 Typical High $104.71 | Professional | UE · Used equipment | $39.81 | $72.44 | $104.71 |
Where North Dakota sits
The same service costs 2.5 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· 8th of 51
$138
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.