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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None | $40.74 | $42.66 | $42.66 |
BCBS North Dakota Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | None | $57.54 | $67.61 | $67.61 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 22 · Increased work | $69.18 | $81.28 | $81.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $11.48 | $13.49 | $13.49 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | RR · Rental | $5.75 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $281.84 | Facility | None | $42.66 | $46.77 | $281.84 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $53.70 | Professional | None | $24.55 | $35.48 | $53.70 |
United Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $51.29 | Professional | None | $22.91 | $35.48 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.29 Median $3.55 Typical High $5.13 | Professional | RR · Rental | $2.29 | $3.55 | $5.13 |
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 $17.38 Median $26.92 Typical High $38.02 | Professional | UE · Used equipment | $17.38 | $26.92 | $38.02 |
Where North Dakota sits
The same service costs 2.3 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· 7th of 51
$57.54
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.