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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,819.70 | $1,949.84 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,715.35 Median $4,365.16 Typical High $4,365.16 | Professional | 22 · Increased work | $3,715.35 | $4,365.16 | $4,365.16 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 55 · Aftercare only | $616.60 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $257.04 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,890.45 | Professional | None | $3,090.30 | $3,090.30 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $14,454.40 | Facility | None | $1,862.09 | $1,949.84 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,621.81 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,621.81 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $104.71 Median $162.18 Typical High $234.42 | Professional | RR · Rental | $104.71 | $162.18 | $234.42 |
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 $776.25 Median $1,230.27 Typical High $1,737.80 | Professional | UE · Used equipment | $776.25 | $1,230.27 | $1,737.80 |
Where North Dakota sits
The same service costs 3.2 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
$3,090
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.