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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | None | $7.24 | $9.12 | $9.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.13 | Professional | None | $12.02 | $14.13 | $14.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $14.45 Median $16.98 Typical High $16.98 | Professional | 22 · Increased work | $14.45 | $16.98 | $16.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.40 | $2.82 | $2.82 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.41 Typical High $1.41 | Professional | RR · Rental | $1.20 | $1.41 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.62 | Professional | None | $15.14 | $15.14 | $18.62 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $9.33 Typical High $27.54 | Facility | None | $9.12 | $9.33 | $27.54 |
Medica Setting Professional Modifier None Typical Low $5.25 Median $7.24 Typical High $10.96 | Professional | None | $5.25 | $7.24 | $10.96 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.24 Typical High $10.47 | Professional | None | $4.47 | $7.24 | $10.47 |
United Setting Professional Modifier RR · Rental Typical Low $0.44 Median $0.74 Typical High $1.05 | Professional | RR · Rental | $0.44 | $0.74 | $1.05 |
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 $3.31 Median $5.50 Typical High $7.94 | Professional | UE · Used equipment | $3.31 | $5.50 | $7.94 |
Where North Dakota sits
The same service costs 2.3 times more in Kansas 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· 4th of 51
$12.02
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.