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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | None | $24.55 | $28.84 | $28.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $19.95 | $21.38 | $21.38 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | None | $33.11 | $44.67 | $44.67 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | 22 · Increased work | $39.81 | $53.70 | $53.70 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $6.76 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $56.23 | Professional | None | $43.65 | $44.67 | $56.23 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $186.21 | Facility | None | $28.84 | $31.62 | $186.21 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $323.59 | Professional | None | $15.85 | $29.51 | $323.59 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $14.13 Typical High $20.89 | Professional | UE · Used equipment | $10.00 | $14.13 | $20.89 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $31.62 | Professional | None | $13.18 | $18.62 | $31.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $14.13 Typical High $21.38 | Professional | UE · Used equipment | $10.00 | $14.13 | $21.38 |
2 more rates 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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier RR · Rental Typical Low $1.26 Median $2.34 Typical High $19.50 | Professional | RR · Rental | $1.26 | $2.34 | $19.50 |
United Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.78 Typical High $2.88 | Professional | RR · Rental | $1.26 | $1.78 | $2.88 |
Where North Dakota sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 5th of 51
$40.74
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.