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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | None | $549.54 | $616.60 | $616.60 |
BCBS North Dakota Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $933.25 | $1,096.48 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | 22 · Increased work | $1,122.02 | $1,318.26 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $218.78 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $77.62 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,174.90 | Professional | None | $933.25 | $933.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $2,951.21 | Facility | None | $616.60 | $645.65 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Professional | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None Typical Low $223.87 Median $575.44 Typical High $812.83 | Professional | None | $223.87 | $575.44 | $812.83 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $57.54 Typical High $83.18 | Professional | RR · Rental | $28.84 | $57.54 | $83.18 |
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 $165.96 Median $426.58 Typical High $602.56 | Professional | UE · Used equipment | $165.96 | $426.58 | $602.56 |
Where North Dakota sits
The same service costs 3.0 times more in Hawaii 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· 3rd of 51
$933
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.