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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $446.68 | Professional | None | $416.87 | $446.68 | $446.68 |
BCBS North Dakota Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | None | $707.95 | $831.76 | $831.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | 22 · Increased work | $851.14 | $1,000.00 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $141.25 | $165.96 | $165.96 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $58.88 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | None | $707.95 | $707.95 | $891.25 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $446.68 Typical High $3,311.31 | Facility | None | $426.58 | $446.68 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $549.54 | Professional | None | $257.04 | $371.54 | $549.54 |
United Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $524.81 | Professional | None | $234.42 | $371.54 | $524.81 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $37.15 Typical High $52.48 | Professional | RR · Rental | $23.44 | $37.15 | $52.48 |
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 $177.83 Median $275.42 Typical High $398.11 | Professional | UE · Used equipment | $177.83 | $275.42 | $398.11 |
Where North Dakota sits
The same service costs 8.9 times more in North Dakota than in Mississippi. 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· 1st of 51
$708
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.