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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $2,041.74 Typical High $2,041.74 | Professional | None | $776.25 | $2,041.74 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,235.94 | $3,801.89 | $3,801.89 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,890.45 Median $4,570.88 Typical High $4,570.88 | Professional | 22 · Increased work | $3,890.45 | $4,570.88 | $4,570.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $645.65 | $758.58 | $758.58 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $269.15 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $1,412.54 | Facility | None | $213.80 | $213.80 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $3,311.31 Typical High $4,073.80 | Professional | None | $3,235.94 | $3,311.31 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $6,165.95 | Facility | None | $1,737.80 | $2,041.74 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,698.24 | $2,511.89 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $2,511.89 | Professional | None | $933.25 | $1,698.24 | $2,511.89 |
United Setting Professional Modifier RR · Rental Typical Low $93.33 Median $169.82 Typical High $251.19 | Professional | RR · Rental | $93.33 | $169.82 | $251.19 |
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 $707.95 Median $1,258.93 Typical High $1,905.46 | Professional | UE · Used equipment | $707.95 | $1,258.93 | $1,905.46 |
Where North Dakota sits
The same service costs 8.5 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
$3,236
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.