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 $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $7,244.36 Typical High $7,244.36 | Professional | None | $6,760.83 | $7,244.36 | $7,244.36 |
BCBS North Dakota Setting Professional Modifier None Typical Low $11,481.54 Median $13,489.63 Typical High $13,489.63 | Professional | None | $11,481.54 | $13,489.63 | $13,489.63 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $13,803.84 Median $16,218.10 Typical High $16,218.10 | Professional | 22 · Increased work | $13,803.84 | $16,218.10 | $16,218.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,691.53 Typical High $2,691.53 | Professional | 55 · Aftercare only | $2,290.87 | $2,691.53 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $954.99 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $11,481.54 Median $11,748.98 Typical High $14,454.40 | Professional | None | $11,481.54 | $11,748.98 | $14,454.40 |
Medica Setting Facility Modifier None Typical Low $6,918.31 Median $7,244.36 Typical High $54,954.09 | Facility | None | $6,918.31 | $7,244.36 | $54,954.09 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $9,120.11 | Professional | None | $4,168.69 | $6,025.60 | $9,120.11 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $8,709.64 | Professional | None | $3,890.45 | $6,025.60 | $8,709.64 |
United Setting Professional Modifier RR · Rental Typical Low $389.05 Median $602.56 Typical High $870.96 | Professional | RR · Rental | $389.05 | $602.56 | $870.96 |
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 $2,884.03 Median $4,570.88 Typical High $6,456.54 | Professional | UE · Used equipment | $2,884.03 | $4,570.88 | $6,456.54 |
Where North Dakota sits
The same service costs 8.9 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
$11,482
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.