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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | None | $120.23 | $134.90 | $134.90 |
BCBS North Dakota Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 22 · Increased work | $204.17 | $239.88 | $239.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $39.81 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $16.98 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $257.04 | Professional | None | $204.17 | $208.93 | $257.04 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $831.76 | Facility | None | $134.90 | $144.54 | $831.76 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $190.55 | Professional | None | $87.10 | $125.89 | $190.55 |
United Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $181.97 | Professional | None | $61.66 | $125.89 | $181.97 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $12.59 Typical High $18.20 | Professional | RR · Rental | $6.17 | $12.59 | $18.20 |
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 $46.77 Median $95.50 Typical High $134.90 | Professional | UE · Used equipment | $46.77 | $95.50 | $134.90 |
Where North Dakota sits
The same service costs 3.3 times more in Kansas than in Illinois. 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
$170
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.