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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $501.19 | Professional | None | $467.74 | $501.19 | $501.19 |
BCBS North Dakota Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $933.25 | Professional | None | $794.33 | $933.25 | $933.25 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 22 · Increased work | $954.99 | $1,122.02 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $158.49 | $186.21 | $186.21 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $66.07 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $1,000.00 | Professional | None | $794.33 | $812.83 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $501.19 Typical High $1,479.11 | Facility | None | $416.87 | $501.19 | $1,479.11 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $588.84 | Professional | None | $281.84 | $398.11 | $588.84 |
United Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $575.44 | Professional | None | $251.19 | $398.11 | $575.44 |
United Setting Professional Modifier RR · Rental Typical Low $25.12 Median $39.81 Typical High $57.54 | Professional | RR · Rental | $25.12 | $39.81 | $57.54 |
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 $190.55 Median $295.12 Typical High $426.58 | Professional | UE · Used equipment | $190.55 | $295.12 | $426.58 |
Where North Dakota sits
The same service costs 11.5 times more in Kansas 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· 2nd of 51
$794
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.