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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | None | $38.02 | $41.69 | $41.69 |
BCBS North Dakota Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | 22 · Increased work | $66.07 | $77.62 | $77.62 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $12.88 | $12.88 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $5.62 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Facility | None | $36.31 | $36.31 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $41.69 Typical High $125.89 | Facility | None | $40.74 | $41.69 | $125.89 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $48.98 | Professional | None | $23.44 | $32.36 | $48.98 |
United Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $46.77 | Professional | None | $19.95 | $32.36 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.55 Typical High $5.01 | Professional | RR · Rental | $2.00 | $3.55 | $5.01 |
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 2.5 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· 5th of 51
$54.95
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.