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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $75.86 | Professional | None | $42.66 | $75.86 | $75.86 |
BCBS North Dakota Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | None | $95.50 | $112.20 | $112.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | 22 · Increased work | $114.82 | $134.90 | $134.90 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $19.05 | $22.39 | $22.39 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None | $117.49 | $117.49 | $144.54 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $81.28 Typical High $478.63 | Facility | None | $75.86 | $81.28 | $478.63 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $107.15 | Professional | None | $50.12 | $70.79 | $107.15 |
United Setting Professional Modifier None Typical Low $36.31 Median $70.79 Typical High $102.33 | Professional | None | $36.31 | $70.79 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $3.63 Median $7.08 Typical High $10.23 | Professional | RR · Rental | $3.63 | $7.08 | $10.23 |
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 $26.92 Median $53.70 Typical High $75.86 | Professional | UE · Used equipment | $26.92 | $53.70 | $75.86 |
Where North Dakota sits
The same service costs 2.6 times more in Hawaii 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· 11th of 51
$95.50
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.