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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Professional | None | $2,290.87 | $2,290.87 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | 22 · Increased work | $4,365.16 | $5,128.61 | $5,128.61 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 55 · Aftercare only | $724.44 | $851.14 | $851.14 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $302.00 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $302.00 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,073.80 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $2,290.87 Typical High $6,918.31 | Facility | None | $204.17 | $2,290.87 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier RR · Rental Typical Low $114.82 Median $165.96 Typical High $245.47 | Professional | RR · Rental | $114.82 | $165.96 | $245.47 |
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 $891.25 Median $1,230.27 Typical High $1,819.70 | Professional | UE · Used equipment | $891.25 | $1,230.27 | $1,819.70 |
Where North Dakota sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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
$3,631
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.