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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | None | $323.59 | $371.54 | $371.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | None | $549.54 | $645.65 | $645.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | 22 · Increased work | $660.69 | $776.25 | $776.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $109.65 | $128.82 | $128.82 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $45.71 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $691.83 | Professional | None | $549.54 | $562.34 | $691.83 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $398.11 Typical High $1,862.09 | Facility | None | $371.54 | $398.11 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $512.86 | Professional | None | $181.97 | $346.74 | $512.86 |
United Setting Professional Modifier None Typical Low $141.25 Median $346.74 Typical High $489.78 | Professional | None | $141.25 | $346.74 | $489.78 |
United Setting Professional Modifier RR · Rental Typical Low $18.20 Median $34.67 Typical High $50.12 | Professional | RR · Rental | $18.20 | $34.67 | $50.12 |
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 $104.71 Median $257.04 Typical High $371.54 | Professional | UE · Used equipment | $104.71 | $257.04 | $371.54 |
Where North Dakota sits
The same service costs 2.7 times more in Hawaii 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· 3rd of 51
$550
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.