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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | None | $575.44 | $616.60 | $616.60 |
BCBS North Dakota Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $954.99 | Professional | None | $794.33 | $954.99 | $954.99 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 22 · Increased work | $954.99 | $1,122.02 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $190.55 | $190.55 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $79.43 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | None | $977.24 | $977.24 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $660.69 Typical High $3,981.07 | Facility | None | $616.60 | $660.69 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $741.31 | Professional | None | $338.84 | $501.19 | $741.31 |
United Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $707.95 | Professional | None | $331.13 | $501.19 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $33.11 Median $50.12 Typical High $70.79 | Professional | RR · Rental | $33.11 | $50.12 | $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 $245.47 Median $371.54 Typical High $537.03 | Professional | UE · Used equipment | $245.47 | $371.54 | $537.03 |
Where North Dakota sits
The same service costs 2.0 times more in Hawaii than in Arizona. 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
$794
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.