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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,905.46 Typical High $1,905.46 | Professional | None | $724.44 | $1,905.46 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,951.21 | $3,467.37 | $3,467.37 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | 22 · Increased work | $3,548.13 | $4,168.69 | $4,168.69 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $588.84 | $691.83 | $691.83 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | RR · Rental | $245.47 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $1,445.44 | Facility | None | $190.55 | $190.55 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,019.95 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $11,748.98 | Facility | None | $1,778.28 | $1,905.46 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,819.70 | Professional | None | $870.96 | $1,230.27 | $1,819.70 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,819.70 | Professional | None | $870.96 | $1,230.27 | $1,819.70 |
United Setting Professional Modifier RR · Rental Typical Low $87.10 Median $123.03 Typical High $181.97 | Professional | RR · Rental | $87.10 | $123.03 | $181.97 |
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 $660.69 Median $912.01 Typical High $1,380.38 | Professional | UE · Used equipment | $660.69 | $912.01 | $1,380.38 |
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
$2,951
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.