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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,090.30 | $3,311.31 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier None Typical Low $5,248.07 Median $6,165.95 Typical High $6,165.95 | Professional | None | $5,248.07 | $6,165.95 | $6,165.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $6,309.57 Median $7,413.10 Typical High $7,413.10 | Professional | 22 · Increased work | $6,309.57 | $7,413.10 | $7,413.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | 55 · Aftercare only | $1,047.13 | $1,230.27 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $436.52 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Facility | None | $2,187.76 | $2,187.76 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,606.93 | Professional | None | $5,248.07 | $5,248.07 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $24,547.09 | Facility | None | $3,235.94 | $3,311.31 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,754.23 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,754.23 | $3,981.07 |
United Setting Professional Modifier RR · Rental Typical Low $173.78 Median $275.42 Typical High $398.11 | Professional | RR · Rental | $173.78 | $275.42 | $398.11 |
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 $1,318.26 Median $2,089.30 Typical High $2,951.21 | Professional | UE · Used equipment | $1,318.26 | $2,089.30 | $2,951.21 |
Where North Dakota sits
The same service costs 8.7 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
$5,248
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.