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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $102.33 | Professional | None | $60.26 | $102.33 | $102.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 22 · Increased work | $147.91 | $173.78 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $28.84 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $12.30 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Facility | None | $81.28 | $81.28 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | None | $147.91 | $147.91 | $181.97 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $588.84 | Facility | None | $102.33 | $107.15 | $588.84 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $144.54 | Professional | None | $64.57 | $95.50 | $144.54 |
United Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $144.54 | Professional | None | $43.65 | $95.50 | $144.54 |
United Setting Professional Modifier RR · Rental Typical Low $4.37 Median $9.55 Typical High $14.45 | Professional | RR · Rental | $4.37 | $9.55 | $14.45 |
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 $32.36 Median $72.44 Typical High $109.65 | Professional | UE · Used equipment | $32.36 | $72.44 | $109.65 |
Where North Dakota sits
The same service costs 3.0 times more in Kansas 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· 10th of 51
$123
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.