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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | None | $251.19 | $288.40 | $288.40 |
BCBS North Dakota Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $416.87 | Professional | None | $354.81 | $416.87 | $416.87 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | 22 · Increased work | $426.58 | $501.19 | $501.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $70.79 | $83.18 | $83.18 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $35.48 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $537.03 | Professional | None | $426.58 | $436.52 | $537.03 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $309.03 Typical High $1,737.80 | Facility | None | $288.40 | $309.03 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $416.87 | Professional | None | $186.21 | $275.42 | $416.87 |
United Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $407.38 | Professional | None | $131.83 | $275.42 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $27.54 Typical High $40.74 | Professional | RR · Rental | $13.18 | $27.54 | $40.74 |
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 $97.72 Median $208.93 Typical High $302.00 | Professional | UE · Used equipment | $97.72 | $208.93 | $302.00 |
Where North Dakota sits
The same service costs 2.7 times more in Hawaii 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· 10th of 51
$355
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.