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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None | $56.23 | $58.88 | $58.88 |
BCBS North Dakota Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | None | $79.43 | $93.33 | $93.33 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | 22 · Increased work | $95.50 | $112.20 | $112.20 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $15.85 | $18.62 | $18.62 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $7.94 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $7.94 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | None | $97.72 | $97.72 | $123.03 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $389.05 | Facility | None | $58.88 | $64.57 | $389.05 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $72.44 | Professional | None | $33.11 | $48.98 | $72.44 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $69.18 | Professional | None | $32.36 | $48.98 | $69.18 |
United Setting Professional Modifier RR · Rental Typical Low $3.24 Median $4.90 Typical High $6.92 | Professional | RR · Rental | $3.24 | $4.90 | $6.92 |
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 $23.99 Median $36.31 Typical High $52.48 | Professional | UE · Used equipment | $23.99 | $36.31 | $52.48 |
Where North Dakota sits
The same service costs 2.3 times more in Hawaii than in New Mexico. 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· 4th of 51
$79.43
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.