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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $954.99 | Professional | None | $891.25 | $954.99 | $954.99 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,513.56 | $1,778.28 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,819.70 Median $2,137.96 Typical High $2,137.96 | Professional | 22 · Increased work | $1,819.70 | $2,137.96 | $2,137.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $302.00 | $354.81 | $354.81 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $125.89 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,548.82 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $7,244.36 | Facility | None | $933.25 | $954.99 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,202.26 | Professional | None | $562.34 | $812.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $1,148.15 | Professional | None | $512.86 | $812.83 | $1,148.15 |
United Setting Professional Modifier RR · Rental Typical Low $51.29 Median $81.28 Typical High $114.82 | Professional | RR · Rental | $51.29 | $81.28 | $114.82 |
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 $389.05 Median $602.56 Typical High $870.96 | Professional | UE · Used equipment | $389.05 | $602.56 | $870.96 |
Where North Dakota sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 1st of 51
$1,514
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.