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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,819.70 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | 22 · Increased work | $1,862.09 | $2,187.76 | $2,187.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $309.03 | $371.54 | $371.54 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $128.82 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $128.82 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,584.89 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $2,951.21 | Facility | None | $812.83 | $977.24 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,122.02 | Professional | None | $549.54 | $741.31 | $1,122.02 |
United Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,122.02 | Professional | None | $524.81 | $741.31 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $52.48 Median $74.13 Typical High $112.20 | Professional | RR · Rental | $52.48 | $74.13 | $112.20 |
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 $398.11 Median $562.34 Typical High $831.76 | Professional | UE · Used equipment | $398.11 | $562.34 | $831.76 |
Where North Dakota sits
The same service costs 11.5 times more in North Dakota 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· 1st of 51
$1,549
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.