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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,041.74 | $2,187.76 | $2,187.76 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,388.44 | $3,981.07 | $3,981.07 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,073.80 Median $4,786.30 Typical High $4,786.30 | Professional | 22 · Increased work | $4,073.80 | $4,786.30 | $4,786.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 55 · Aftercare only | $691.83 | $812.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $281.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,467.37 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $13,489.63 | Facility | None | $2,041.74 | $2,187.76 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,412.54 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,412.54 | $2,089.30 |
United Setting Professional Modifier RR · Rental Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | RR · Rental | $100.00 | $141.25 | $208.93 |
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 $758.58 Median $1,047.13 Typical High $1,584.89 | Professional | UE · Used equipment | $758.58 | $1,047.13 | $1,584.89 |
Where North Dakota sits
The same service costs 10.7 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
$3,388
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.