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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,000.00 | Professional | None | $707.95 | $1,000.00 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,412.54 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,288.25 Median $1,698.24 Typical High $1,698.24 | Professional | 22 · Increased work | $1,288.25 | $1,698.24 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $213.80 | $281.84 | $288.40 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $89.13 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $89.13 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,202.26 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,000.00 Typical High $2,951.21 | Facility | None | $851.14 | $1,000.00 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $5,011.87 | Professional | None | $41.69 | $85.11 | $5,011.87 |
Medica Setting Professional Modifier RR · Rental Typical Low $41.69 Median $83.18 Typical High $831.76 | Professional | RR · Rental | $41.69 | $83.18 | $831.76 |
United Setting Professional Modifier None Typical Low $43.65 Median $389.05 Typical High $3,311.31 | Professional | None | $43.65 | $389.05 | $3,311.31 |
United Setting Professional Modifier RR · Rental Typical Low $38.02 Median $83.18 Typical High $141.25 | Professional | RR · Rental | $38.02 | $83.18 | $141.25 |
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 $537.03 Median $741.31 Typical High $741.31 | Professional | UE · Used equipment | $537.03 | $741.31 | $741.31 |
Where North Dakota sits
The same service costs 11.5 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
$1,202
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.