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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $23.44 Typical High $23.44 | Professional | None | $10.72 | $23.44 | $23.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | None | $30.90 | $36.31 | $36.31 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 22 · Increased work | $37.15 | $43.65 | $43.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $6.17 | $7.24 | $7.24 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.63 Typical High $3.63 | Professional | RR · Rental | $3.09 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $46.77 | Professional | None | $37.15 | $38.02 | $46.77 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $25.12 Typical High $151.36 | Facility | None | $23.44 | $25.12 | $151.36 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $28.84 | Professional | None | $13.18 | $19.05 | $28.84 |
United Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $27.54 | Professional | None | $12.59 | $19.05 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.95 Typical High $2.75 | Professional | RR · Rental | $1.26 | $1.95 | $2.75 |
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 $9.33 Median $14.45 Typical High $20.42 | Professional | UE · Used equipment | $9.33 | $14.45 | $20.42 |
Where North Dakota sits
The same service costs 2.3 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· 5th of 51
$30.90
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.