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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
BCBS North Dakota Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | None | $141.25 | $165.96 | $165.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 22 · Increased work | $165.96 | $194.98 | $194.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $28.18 | $33.11 | $33.11 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $14.13 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $14.13 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | None | $154.88 | $154.88 | $190.55 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $316.23 | Facility | None | $107.15 | $107.15 | $316.23 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $112.20 | Professional | None | $63.10 | $74.13 | $112.20 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $112.20 | Professional | None | $52.48 | $74.13 | $112.20 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $7.41 Typical High $11.22 | Professional | RR · Rental | $5.25 | $7.41 | $11.22 |
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 $38.90 Median $54.95 Typical High $83.18 | Professional | UE · Used equipment | $38.90 | $54.95 | $83.18 |
Where North Dakota sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 2nd of 51
$141
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.