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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | None | $331.13 | $354.81 | $354.81 |
BCBS North Dakota Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $40.74 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $40.74 | $54.95 | $54.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | RR · Rental | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | None | $562.34 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $354.81 Typical High $1,071.52 | Facility | None | $48.98 | $354.81 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $1,288.25 | Professional | None | $20.89 | $30.90 | $1,288.25 |
Medica Setting Professional Modifier RR · Rental Typical Low $20.89 Median $39.81 Typical High $245.47 | Professional | RR · Rental | $20.89 | $39.81 | $245.47 |
United Setting Professional Modifier None Typical Low $19.50 Median $41.69 Typical High $1,288.25 | Professional | None | $19.50 | $41.69 | $1,288.25 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $30.90 Typical High $41.69 | Professional | RR · Rental | $17.38 | $30.90 | $41.69 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $245.47 | $263.03 | $263.03 |
Where North Dakota sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 10th of 51
$355
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.