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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $676.08 | Professional | None | $602.56 | $676.08 | $676.08 |
BCBS North Dakota Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,258.93 | Professional | None | $933.25 | $1,230.27 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,122.02 Median $1,479.11 Typical High $1,513.56 | Professional | 22 · Increased work | $1,122.02 | $1,479.11 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $186.21 | $251.19 | $251.19 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $77.62 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $77.62 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,071.52 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,995.26 | Facility | None | $549.54 | $676.08 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $645.65 | Professional | None | $309.03 | $436.52 | $645.65 |
Medica Setting Professional Modifier RR · Rental Typical Low $37.15 Median $43.65 Typical High $74.13 | Professional | RR · Rental | $37.15 | $43.65 | $74.13 |
United Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $645.65 | Professional | None | $309.03 | $436.52 | $645.65 |
United Setting Professional Modifier RR · Rental Typical Low $30.90 Median $43.65 Typical High $74.13 | Professional | RR · Rental | $30.90 | $43.65 | $74.13 |
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 UE · Used equipment Typical Low $234.42 Median $323.59 Typical High $489.78 | Professional | UE · Used equipment | $234.42 | $323.59 | $489.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $323.59 Typical High $489.78 | Professional | UE · Used equipment | $234.42 | $323.59 | $489.78 |
Where North Dakota sits
The same service costs 3.2 times more in North Dakota than in Mississippi. 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
$1,047
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.