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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
BCBS North Dakota Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | None | $56.23 | $66.07 | $66.07 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $66.07 Median $79.43 Typical High $79.43 | Professional | 22 · Increased work | $66.07 | $79.43 | $79.43 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $11.22 | $13.18 | $13.18 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $5.62 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $269.15 | Facility | None | $41.69 | $45.71 | $269.15 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $52.48 | Professional | None | $23.99 | $34.67 | $52.48 |
United Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $50.12 | Professional | None | $22.39 | $34.67 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.47 Typical High $5.01 | Professional | RR · Rental | $2.24 | $3.47 | $5.01 |
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 $16.98 Median $26.30 Typical High $37.15 | Professional | UE · Used equipment | $16.98 | $26.30 | $37.15 |
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· 4th of 51
$56.23
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.