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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Professional | None | $363.08 | $407.38 | $407.38 |
BCBS North Dakota Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $616.60 Median $724.44 Typical High $724.44 | Professional | 22 · Increased work | $616.60 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $120.23 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $51.29 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Facility | None | $354.81 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $776.25 | Professional | None | $616.60 | $630.96 | $776.25 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $2,570.40 | Facility | None | $407.38 | $436.52 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $575.44 | Professional | None | $275.42 | $389.05 | $575.44 |
United Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $549.54 | Professional | None | $194.98 | $389.05 | $549.54 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $38.90 Typical High $54.95 | Professional | RR · Rental | $19.50 | $38.90 | $54.95 |
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 $147.91 Median $288.40 Typical High $416.87 | Professional | UE · Used equipment | $147.91 | $288.40 | $416.87 |
Where North Dakota sits
The same service costs 2.7 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· 8th of 51
$513
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.