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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | None | $13.80 | $15.49 | $15.49 |
BCBS North Dakota Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | None | $19.50 | $22.91 | $22.91 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $23.44 Median $27.54 Typical High $27.54 | Professional | 22 · Increased work | $23.44 | $27.54 | $27.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $3.89 | $4.68 | $4.68 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.29 Typical High $2.29 | Professional | RR · Rental | $1.95 | $2.29 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $28.18 | Professional | None | $22.39 | $22.91 | $28.18 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $100.00 | Facility | None | $15.49 | $16.60 | $100.00 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $21.38 | Professional | None | $9.77 | $14.45 | $21.38 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $20.42 | Professional | None | $7.76 | $14.45 | $20.42 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.45 Typical High $2.04 | Professional | RR · Rental | $0.78 | $1.45 | $2.04 |
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 $5.89 Median $10.72 Typical High $15.49 | Professional | UE · Used equipment | $5.89 | $10.72 | $15.49 |
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· 11th of 51
$19.50
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.