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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $19.50 Typical High $19.50 | Professional | None | $8.13 | $19.50 | $19.50 |
BCBS North Dakota Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | None | $25.70 | $30.20 | $30.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | 22 · Increased work | $30.90 | $36.31 | $36.31 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.13 | $6.03 | $6.03 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $2.51 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | None | $30.20 | $30.20 | $37.15 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $19.95 Typical High $58.88 | Facility | None | $19.50 | $19.95 | $58.88 |
Medica Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $24.55 | Professional | None | $11.48 | $16.22 | $24.55 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $23.44 | Professional | None | $9.55 | $16.22 | $23.44 |
United Setting Professional Modifier RR · Rental Typical Low $0.95 Median $1.62 Typical High $2.29 | Professional | RR · Rental | $0.95 | $1.62 | $2.29 |
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 $7.24 Median $12.30 Typical High $17.38 | Professional | UE · Used equipment | $7.24 | $12.30 | $17.38 |
Where North Dakota sits
The same service costs 3.1 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· 6th of 51
$25.70
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.