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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,818.38 | $2,951.21 | $2,951.21 |
BCBS North Dakota Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Professional | None | $4,677.35 | $5,495.41 | $5,495.41 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $5,623.41 Median $6,606.93 Typical High $6,606.93 | Professional | 22 · Increased work | $5,623.41 | $6,606.93 | $6,606.93 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | 55 · Aftercare only | $933.25 | $1,122.02 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $389.05 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $6,025.60 | Professional | None | $4,786.30 | $4,786.30 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $21,877.62 | Facility | None | $2,818.38 | $2,951.21 | $21,877.62 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,659.59 | $2,454.71 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,454.71 | $3,467.37 |
United Setting Professional Modifier RR · Rental Typical Low $162.18 Median $245.47 Typical High $346.74 | Professional | RR · Rental | $162.18 | $245.47 | $346.74 |
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 $1,202.26 Median $1,819.70 Typical High $2,630.27 | Professional | UE · Used equipment | $1,202.26 | $1,819.70 | $2,630.27 |
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
$4,677
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.