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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,949.84 Typical High $1,949.84 | Professional | None | $758.58 | $1,949.84 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,715.35 Median $4,365.16 Typical High $4,365.16 | Professional | 22 · Increased work | $3,715.35 | $4,365.16 | $4,365.16 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $616.60 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $257.04 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,162.28 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,162.28 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $12,022.64 | Facility | None | $1,862.09 | $1,949.84 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,905.46 | Professional | None | $912.01 | $1,258.93 | $1,905.46 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,905.46 | Professional | None | $912.01 | $1,258.93 | $1,905.46 |
United Setting Professional Modifier RR · Rental Typical Low $89.13 Median $125.89 Typical High $190.55 | Professional | RR · Rental | $89.13 | $125.89 | $190.55 |
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 $676.08 Median $954.99 Typical High $1,412.54 | Professional | UE · Used equipment | $676.08 | $954.99 | $1,412.54 |
Where North Dakota sits
The same service costs 12.9 times more in North Dakota 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· 1st of 51
$3,090
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.