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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | None | $33.11 | $39.81 | $39.81 |
BCBS North Dakota Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None | $52.48 | $61.66 | $61.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | 22 · Increased work | $63.10 | $74.13 | $74.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $12.30 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.25 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $5.25 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $79.43 | Professional | None | $63.10 | $64.57 | $79.43 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $42.66 Typical High $120.23 | Facility | None | $39.81 | $42.66 | $120.23 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $48.98 | Professional | None | $23.99 | $33.11 | $48.98 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $47.86 | Professional | None | $19.95 | $33.11 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.31 Typical High $4.79 | Professional | RR · Rental | $2.00 | $3.31 | $4.79 |
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 $14.79 Median $24.55 Typical High $35.48 | Professional | UE · Used equipment | $14.79 | $24.55 | $35.48 |
Where North Dakota sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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· 8th of 51
$52.48
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.