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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | None | $15.14 | $16.22 | $16.22 |
BCBS North Dakota Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | None | $21.38 | $25.12 | $25.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 22 · Increased work | $25.70 | $30.20 | $30.20 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $4.27 | $5.01 | $5.01 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.14 | $2.51 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | None | $26.30 | $26.30 | $33.11 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $104.71 | Facility | None | $16.22 | $17.78 | $104.71 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $20.89 | Professional | None | $9.77 | $13.80 | $20.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.80 Typical High $19.50 | Professional | None | $8.71 | $13.80 | $19.50 |
United Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.38 Typical High $1.95 | Professional | RR · Rental | $0.85 | $1.38 | $1.95 |
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 $6.46 Median $10.23 Typical High $14.79 | Professional | UE · Used equipment | $6.46 | $10.23 | $14.79 |
Where North Dakota sits
The same service costs 2.2 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· 6th of 51
$21.38
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.