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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | None | $36.31 | $38.90 | $38.90 |
BCBS North Dakota Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | None | $51.29 | $60.26 | $60.26 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 22 · Increased work | $61.66 | $72.44 | $72.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $12.02 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $5.13 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $79.43 | Professional | None | $63.10 | $64.57 | $79.43 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $251.19 | Facility | None | $38.90 | $42.66 | $251.19 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $48.98 | Professional | None | $23.44 | $33.11 | $48.98 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.11 Typical High $46.77 | Professional | None | $20.89 | $33.11 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.31 Typical High $4.68 | Professional | RR · Rental | $2.04 | $3.31 | $4.68 |
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 $15.49 Median $24.55 Typical High $35.48 | Professional | UE · Used equipment | $15.49 | $24.55 | $35.48 |
Where North Dakota sits
The same service costs 2.5 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· 8th of 51
$51.29
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.