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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,238.72 | $2,398.83 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,801.89 | $4,466.84 | $4,466.84 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,570.88 Median $5,370.32 Typical High $5,370.32 | Professional | 22 · Increased work | $4,570.88 | $5,370.32 | $5,370.32 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $758.58 | $891.25 | $891.25 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $316.23 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,786.30 | Professional | None | $3,801.89 | $3,890.45 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $14,791.08 | Facility | None | $2,238.72 | $2,398.83 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,548.82 | $2,344.23 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,548.82 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $109.65 Median $154.88 Typical High $234.42 | Professional | RR · Rental | $109.65 | $154.88 | $234.42 |
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 $831.76 Median $1,174.90 Typical High $1,737.80 | Professional | UE · Used equipment | $831.76 | $1,174.90 | $1,737.80 |
Where North Dakota sits
The same service costs 11.0 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
$3,802
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.