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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | None | $602.56 | $691.83 | $691.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | None | $851.14 | $1,023.29 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | 22 · Increased work | $1,023.29 | $1,202.26 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $173.78 | $204.17 | $204.17 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $85.11 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Facility | None | $575.44 | $575.44 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,047.13 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $4,168.69 | Facility | None | $691.83 | $707.95 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $870.96 | Professional | None | $380.19 | $588.84 | $870.96 |
United Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $831.76 | Professional | None | $309.03 | $588.84 | $831.76 |
United Setting Professional Modifier RR · Rental Typical Low $30.90 Median $58.88 Typical High $83.18 | Professional | RR · Rental | $30.90 | $58.88 | $83.18 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $436.52 Typical High $630.96 | Professional | UE · Used equipment | $234.42 | $436.52 | $630.96 |
Where North Dakota sits
The same service costs 2.6 times more in Hawaii than in Illinois. 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· 7th of 51
$851
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.