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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $190.55 | Professional | None | $162.18 | $190.55 | $190.55 |
BCBS North Dakota Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | None | $229.09 | $269.15 | $269.15 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | 22 · Increased work | $275.42 | $323.59 | $323.59 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $53.70 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $22.91 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Facility | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | None | $275.42 | $275.42 | $338.84 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $1,148.15 | Facility | None | $190.55 | $208.93 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $281.84 | Professional | None | $125.89 | $186.21 | $281.84 |
United Setting Professional Modifier None Typical Low $87.10 Median $186.21 Typical High $275.42 | Professional | None | $87.10 | $186.21 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $8.71 Median $18.62 Typical High $27.54 | Professional | RR · Rental | $8.71 | $18.62 | $27.54 |
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 $66.07 Median $141.25 Typical High $208.93 | Professional | UE · Used equipment | $66.07 | $141.25 | $208.93 |
Where North Dakota sits
The same service costs 2.6 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· 16th of 51
$229
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.