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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | None | $51.29 | $57.54 | $57.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | None | $72.44 | $85.11 | $85.11 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 22 · Increased work | $87.10 | $102.33 | $102.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $14.45 | $16.98 | $16.98 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $7.24 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $7.24 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | None | $87.10 | $87.10 | $107.15 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $346.74 | Facility | None | $57.54 | $60.26 | $346.74 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $79.43 | Professional | None | $37.15 | $53.70 | $79.43 |
United Setting Professional Modifier None Typical Low $26.30 Median $53.70 Typical High $75.86 | Professional | None | $26.30 | $53.70 | $75.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.63 Median $5.37 Typical High $7.59 | Professional | RR · Rental | $2.63 | $5.37 | $7.59 |
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 $19.50 Median $39.81 Typical High $57.54 | Professional | UE · Used equipment | $19.50 | $39.81 | $57.54 |
Where North Dakota sits
The same service costs 2.5 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· 10th of 51
$72.44
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.