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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Professional | None | $870.96 | $1,148.15 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,737.80 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,584.89 Median $2,089.30 Typical High $2,089.30 | Professional | 22 · Increased work | $1,584.89 | $2,089.30 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $346.74 Typical High $354.81 | Professional | 55 · Aftercare only | $263.03 | $346.74 | $354.81 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $109.65 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $109.65 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,479.11 | $1,479.11 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $3,467.37 | Facility | None | $1,000.00 | $1,148.15 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $6,456.54 | Professional | None | $53.70 | $109.65 | $6,456.54 |
Medica Setting Professional Modifier RR · Rental Typical Low $53.70 Median $107.15 Typical High $1,000.00 | Professional | RR · Rental | $53.70 | $107.15 | $1,000.00 |
United Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $3,548.13 | Professional | None | $53.70 | $109.65 | $3,548.13 |
United Setting Professional Modifier RR · Rental Typical Low $48.98 Median $107.15 Typical High $169.82 | Professional | RR · Rental | $48.98 | $107.15 | $169.82 |
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 $660.69 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $660.69 | $870.96 | $870.96 |
Where North Dakota sits
The same service costs 10.0 times more in Minnesota than in Montana. 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· 2nd of 51
$1,479
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.