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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | None | $281.84 | $302.00 | $302.00 |
BCBS North Dakota Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $562.34 | Professional | None | $478.63 | $562.34 | $562.34 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $575.44 Median $676.08 Typical High $676.08 | Professional | 22 · Increased work | $575.44 | $676.08 | $676.08 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $95.50 | $112.20 | $112.20 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $39.81 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $602.56 | Professional | None | $478.63 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $2,187.76 | Facility | None | $288.40 | $302.00 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $371.54 | Professional | None | $165.96 | $245.47 | $371.54 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $354.81 | Professional | None | $162.18 | $245.47 | $354.81 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $24.55 Typical High $35.48 | Professional | RR · Rental | $16.22 | $24.55 | $35.48 |
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 $123.03 Median $186.21 Typical High $263.03 | Professional | UE · Used equipment | $123.03 | $186.21 | $263.03 |
Where North Dakota sits
The same service costs 9.3 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
$479
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.