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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,148.15 | $1,202.26 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,949.84 | $2,290.87 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,344.23 Median $2,754.23 Typical High $2,754.23 | Professional | 22 · Increased work | $2,344.23 | $2,754.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $389.05 | $457.09 | $457.09 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | RR · Rental | $162.18 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,949.84 | $1,995.26 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $8,912.51 | Facility | None | $1,202.26 | $1,318.26 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,691.53 | Professional | None | $831.76 | $1,778.28 | $2,691.53 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,778.28 Typical High $2,630.27 | Professional | None | $660.69 | $1,778.28 | $2,630.27 |
United Setting Professional Modifier RR · Rental Typical Low $66.07 Median $177.83 Typical High $263.03 | Professional | RR · Rental | $66.07 | $177.83 | $263.03 |
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 $489.78 Median $1,348.96 Typical High $1,995.26 | Professional | UE · Used equipment | $489.78 | $1,348.96 | $1,995.26 |
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· 3rd of 51
$1,950
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.