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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | None | $77.62 | $85.11 | $85.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | 22 · Increased work | $131.83 | $154.88 | $154.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $21.88 | $25.70 | $25.70 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $10.96 Median $12.88 Typical High $12.88 | Professional | RR · Rental | $10.96 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Facility | None | $72.44 | $72.44 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $257.04 | Facility | None | $85.11 | $89.13 | $257.04 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $97.72 | Professional | None | $48.98 | $64.57 | $97.72 |
United Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $97.72 | Professional | None | $39.81 | $64.57 | $97.72 |
United Setting Professional Modifier RR · Rental Typical Low $3.98 Median $6.76 Typical High $9.77 | Professional | RR · Rental | $3.98 | $6.76 | $9.77 |
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 $29.51 Median $47.86 Typical High $72.44 | Professional | UE · Used equipment | $29.51 | $47.86 | $72.44 |
Where North Dakota sits
The same service costs 2.6 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
$110
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.