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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $40.74 Typical High $40.74 | Professional | None | $21.38 | $40.74 | $40.74 |
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
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 $40.74 Median $42.66 Typical High $245.47 | Facility | None | $40.74 | $42.66 | $245.47 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $54.95 | Professional | None | $25.70 | $37.15 | $54.95 |
United Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $52.48 | Professional | None | $18.62 | $37.15 | $52.48 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $3.72 Typical High $5.25 | Professional | RR · Rental | $1.82 | $3.72 | $5.25 |
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 $13.80 Median $27.54 Typical High $39.81 | Professional | UE · Used equipment | $13.80 | $27.54 | $39.81 |
Where North Dakota sits
The same service costs 2.8 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
$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.