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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | None | $35.48 | $38.02 | $38.02 |
BCBS North Dakota Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | None | $50.12 | $58.88 | $58.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | 22 · Increased work | $60.26 | $70.79 | $70.79 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $10.00 | $11.75 | $11.75 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.01 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $245.47 | Facility | None | $38.02 | $40.74 | $245.47 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $46.77 | Professional | None | $20.89 | $31.62 | $46.77 |
United Setting Professional Modifier None Typical Low $20.42 Median $31.62 Typical High $44.67 | Professional | None | $20.42 | $31.62 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.16 Typical High $4.47 | Professional | RR · Rental | $2.04 | $3.16 | $4.47 |
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 $15.49 Median $23.44 Typical High $33.88 | Professional | UE · Used equipment | $15.49 | $23.44 | $33.88 |
Where North Dakota sits
The same service costs 10.0 times more in Kansas 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· 7th of 51
$50.12
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.