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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | None | $131.83 | $162.18 | $162.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | None | $186.21 | $218.78 | $218.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | 22 · Increased work | $218.78 | $263.03 | $263.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $37.15 | $43.65 | $43.65 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | RR · Rental | $18.62 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $275.42 | Professional | None | $218.78 | $223.87 | $275.42 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $891.25 | Facility | None | $162.18 | $177.83 | $891.25 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $213.80 | Professional | None | $95.50 | $144.54 | $213.80 |
United Setting Professional Modifier None Typical Low $66.07 Median $144.54 Typical High $213.80 | Professional | None | $66.07 | $144.54 | $213.80 |
United Setting Professional Modifier RR · Rental Typical Low $6.61 Median $14.45 Typical High $21.88 | Professional | RR · Rental | $6.61 | $14.45 | $21.88 |
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 $48.98 Median $107.15 Typical High $162.18 | Professional | UE · Used equipment | $48.98 | $107.15 | $162.18 |
Where North Dakota sits
The same service costs 3.1 times more in Kansas than in New Mexico. 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· 10th of 51
$186
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.