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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | None | $31.62 | $34.67 | $34.67 |
BCBS North Dakota Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | None | $44.67 | $52.48 | $52.48 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | 22 · Increased work | $53.70 | $63.10 | $63.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $8.91 | $10.47 | $10.47 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $4.47 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Facility | None | $30.90 | $30.90 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | None | $52.48 | $52.48 | $66.07 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $35.48 Typical High $104.71 | Facility | None | $34.67 | $35.48 | $104.71 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $43.65 | Professional | None | $20.42 | $28.84 | $43.65 |
United Setting Professional Modifier None Typical Low $16.98 Median $28.84 Typical High $41.69 | Professional | None | $16.98 | $28.84 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.88 Typical High $4.17 | Professional | RR · Rental | $1.70 | $2.88 | $4.17 |
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 $12.88 Median $21.88 Typical High $30.90 | Professional | UE · Used equipment | $12.88 | $21.88 | $30.90 |
Where North Dakota sits
The same service costs 2.7 times more in Hawaii 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
$44.67
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.