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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | None | $109.65 | $131.83 | $131.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | None | $186.21 | $218.78 | $218.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | 22 · Increased work | $223.87 | $263.03 | $263.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $37.15 | $43.65 | $43.65 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | RR · Rental | $15.49 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $112.20 | Facility | None | $109.65 | $109.65 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $234.42 | Professional | None | $186.21 | $190.55 | $234.42 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $794.33 | Facility | None | $131.83 | $141.25 | $794.33 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $194.98 | Professional | None | $74.13 | $131.83 | $194.98 |
United Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $186.21 | Professional | None | $60.26 | $131.83 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $5.89 Median $12.88 Typical High $19.50 | Professional | RR · Rental | $5.89 | $12.88 | $19.50 |
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 $44.67 Median $97.72 Typical High $141.25 | Professional | UE · Used equipment | $44.67 | $97.72 | $141.25 |
Where North Dakota sits
The same service costs 3.3 times more in Kansas than in Illinois. 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· 3rd of 51
$186
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.