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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $5.50 | Professional | None | $4.47 | $5.50 | $5.50 |
BCBS North Dakota Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $8.51 | Professional | None | $7.24 | $8.51 | $8.51 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $8.71 Median $10.23 Typical High $10.23 | Professional | 22 · Increased work | $8.71 | $10.23 | $10.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.70 Typical High $1.70 | Professional | 55 · Aftercare only | $1.45 | $1.70 | $1.70 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.85 Typical High $0.85 | Professional | RR · Rental | $0.72 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Facility | None | $4.79 | $4.79 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.33 | Professional | None | $7.59 | $7.59 | $9.33 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $5.75 Typical High $16.60 | Facility | None | $5.50 | $5.75 | $16.60 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.47 Typical High $6.76 | Professional | None | $3.24 | $4.47 | $6.76 |
United Setting Professional Modifier None Typical Low $2.63 Median $4.47 Typical High $6.46 | Professional | None | $2.63 | $4.47 | $6.46 |
United Setting Professional Modifier RR · Rental Typical Low $0.26 Median $0.47 Typical High $0.68 | Professional | RR · Rental | $0.26 | $0.47 | $0.68 |
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 $2.00 Median $3.39 Typical High $4.79 | Professional | UE · Used equipment | $2.00 | $3.39 | $4.79 |
Where North Dakota sits
The same service costs 7.9 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· 4th of 51
$7.24
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.