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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,230.27 | $1,318.26 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,454.71 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,454.71 Median $2,951.21 Typical High $2,951.21 | Professional | 22 · Increased work | $2,454.71 | $2,951.21 | $2,951.21 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $416.87 | $489.78 | $489.78 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $173.78 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,089.30 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $9,772.37 | Facility | None | $1,318.26 | $1,412.54 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $2,454.71 | Professional | None | $891.25 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,659.59 Typical High $2,454.71 | Professional | None | $691.83 | $1,659.59 | $2,454.71 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $165.96 Typical High $245.47 | Professional | RR · Rental | $69.18 | $165.96 | $245.47 |
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 $524.81 Median $1,230.27 Typical High $1,862.09 | Professional | UE · Used equipment | $524.81 | $1,230.27 | $1,862.09 |
Where North Dakota sits
The same service costs 7.6 times more in Kansas 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· 2nd of 51
$2,089
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.