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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | None | $112.20 | $123.03 | $123.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None | $158.49 | $190.55 | $190.55 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | 22 · Increased work | $190.55 | $223.87 | $223.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $32.36 | $38.02 | $38.02 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $15.85 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $15.85 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | None | $194.98 | $194.98 | $245.47 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $776.25 | Facility | None | $123.03 | $123.03 | $776.25 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $162.18 | Professional | None | $72.44 | $109.65 | $162.18 |
United Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $154.88 | Professional | None | $61.66 | $109.65 | $154.88 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $10.96 Typical High $15.49 | Professional | RR · Rental | $6.17 | $10.96 | $15.49 |
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 $45.71 Median $81.28 Typical High $117.49 | Professional | UE · Used equipment | $45.71 | $81.28 | $117.49 |
Where North Dakota sits
The same service costs 1.9 times more in Wisconsin 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· 8th of 51
$158
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.