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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,659.59 Typical High $1,659.59 | Professional | None | $645.65 | $1,659.59 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,630.27 | $3,090.30 | $3,090.30 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,162.28 Median $3,715.35 Typical High $3,715.35 | Professional | 22 · Increased work | $3,162.28 | $3,715.35 | $3,715.35 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $524.81 | $616.60 | $616.60 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $218.78 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,071.52 | Facility | None | $173.78 | $173.78 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,630.27 | $2,691.53 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $5,011.87 | Facility | None | $1,380.38 | $1,659.59 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,621.81 | Professional | None | $776.25 | $1,071.52 | $1,621.81 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,621.81 | Professional | None | $776.25 | $1,071.52 | $1,621.81 |
United Setting Professional Modifier RR · Rental Typical Low $75.86 Median $107.15 Typical High $162.18 | Professional | RR · Rental | $75.86 | $107.15 | $162.18 |
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 $575.44 Median $812.83 Typical High $1,202.26 | Professional | UE · Used equipment | $575.44 | $812.83 | $1,202.26 |
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
$2,630
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.