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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | None | $33.88 | $36.31 | $36.31 |
BCBS North Dakota Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | None | $47.86 | $56.23 | $56.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 22 · Increased work | $57.54 | $67.61 | $67.61 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.55 | $11.22 | $11.22 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.62 Typical High $5.62 | Professional | RR · Rental | $4.79 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $38.90 Typical High $234.42 | Facility | None | $36.31 | $38.90 | $234.42 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $44.67 | Professional | None | $20.42 | $30.20 | $44.67 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $42.66 | Professional | None | $19.50 | $30.20 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.02 Typical High $4.27 | Professional | RR · Rental | $1.95 | $3.02 | $4.27 |
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 $14.45 Median $22.39 Typical High $32.36 | Professional | UE · Used equipment | $14.45 | $22.39 | $32.36 |
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· 6th of 51
$47.86
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.