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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $724.44 | Professional | None | $676.08 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | None | $954.99 | $1,122.02 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,148.15 Median $1,348.96 Typical High $1,348.96 | Professional | 22 · Increased work | $1,148.15 | $1,348.96 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $190.55 | $223.87 | $223.87 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $95.50 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,174.90 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $724.44 Typical High $4,677.35 | Facility | None | $691.83 | $724.44 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $707.95 | Professional | None | $398.11 | $467.74 | $707.95 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $707.95 | Professional | None | $331.13 | $467.74 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $33.11 Median $46.77 Typical High $70.79 | Professional | RR · Rental | $33.11 | $46.77 | $70.79 |
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 $251.19 Median $354.81 Typical High $524.81 | Professional | UE · Used equipment | $251.19 | $354.81 | $524.81 |
Where North Dakota sits
The same service costs 2.1 times more in Montana than in Illinois. 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· 6th of 51
$955
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.