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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,023.29 | Professional | None | $954.99 | $1,023.29 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,905.46 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,905.46 Median $2,290.87 Typical High $2,290.87 | Professional | 22 · Increased work | $1,905.46 | $2,290.87 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $323.59 | $380.19 | $380.19 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $134.90 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,621.81 | $1,659.59 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,023.29 Typical High $7,413.10 | Facility | None | $954.99 | $1,023.29 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,258.93 | Professional | None | $562.34 | $831.76 | $1,258.93 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,174.90 | Professional | None | $549.54 | $831.76 | $1,174.90 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $83.18 Typical High $117.49 | Professional | RR · Rental | $54.95 | $83.18 | $117.49 |
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 $407.38 Median $616.60 Typical High $891.25 | Professional | UE · Used equipment | $407.38 | $616.60 | $891.25 |
Where North Dakota sits
The same service costs 9.5 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
$1,622
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.