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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | None | $22.91 | $26.30 | $26.30 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None | $33.88 | $39.81 | $39.81 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 22 · Increased work | $40.74 | $47.86 | $47.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.76 | $7.94 | $7.94 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.98 Typical High $3.98 | Professional | RR · Rental | $3.39 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | None | $23.44 | $23.44 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | None | $41.69 | $41.69 | $51.29 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $28.18 Typical High $79.43 | Facility | None | $26.30 | $28.18 | $79.43 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $33.88 | Professional | None | $15.49 | $22.39 | $33.88 |
United Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $32.36 | Professional | None | $12.88 | $22.39 | $32.36 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $2.24 Typical High $3.24 | Professional | RR · Rental | $1.29 | $2.24 | $3.24 |
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 $9.55 Median $16.98 Typical High $23.99 | Professional | UE · Used equipment | $9.55 | $16.98 | $23.99 |
Where North Dakota sits
The same service costs 2.5 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· 7th of 51
$33.88
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.