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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | None | $302.00 | $323.59 | $323.59 |
BCBS North Dakota Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 22 · Increased work | $616.60 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $120.23 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $42.66 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $645.65 | Professional | None | $512.86 | $524.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $323.59 Typical High $2,344.23 | Facility | None | $302.00 | $323.59 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $363.08 | Professional | None | $131.83 | $186.21 | $363.08 |
United Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $275.42 | Professional | None | $131.83 | $186.21 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $26.30 Typical High $38.02 | Professional | RR · Rental | $17.38 | $26.30 | $38.02 |
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 $97.72 Median $138.04 Typical High $208.93 | Professional | UE · Used equipment | $97.72 | $138.04 | $208.93 |
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
$513
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.