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 $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,248.07 | $5,623.41 | $5,623.41 |
BCBS North Dakota Setting Professional Modifier None Typical Low $8,912.51 Median $10,471.29 Typical High $10,471.29 | Professional | None | $8,912.51 | $10,471.29 | $10,471.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $10,715.19 Median $12,589.25 Typical High $12,589.25 | Professional | 22 · Increased work | $10,715.19 | $12,589.25 | $12,589.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $1,778.28 Median $2,089.30 Typical High $2,089.30 | Professional | 55 · Aftercare only | $1,778.28 | $2,089.30 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | RR · Rental | $741.31 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $9,120.11 Typical High $11,220.18 | Professional | None | $8,912.51 | $9,120.11 | $11,220.18 |
Medica Setting Facility Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $40,738.03 | Facility | None | $5,370.32 | $5,623.41 | $40,738.03 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $6,918.31 | Professional | None | $3,090.30 | $4,570.88 | $6,918.31 |
United Setting Professional Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $6,606.93 | Professional | None | $3,019.95 | $4,570.88 | $6,606.93 |
United Setting Professional Modifier RR · Rental Typical Low $302.00 Median $457.09 Typical High $660.69 | Professional | RR · Rental | $302.00 | $457.09 | $660.69 |
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 $2,290.87 Median $3,467.37 Typical High $4,897.79 | Professional | UE · Used equipment | $2,290.87 | $3,467.37 | $4,897.79 |
Where North Dakota sits
The same service costs 9.3 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
$8,913
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.