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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | None | $218.78 | $275.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | None | $363.08 | $426.58 | $426.58 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | 22 · Increased work | $436.52 | $512.86 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $85.11 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $36.31 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Facility | None | $263.03 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $549.54 | Professional | None | $436.52 | $446.68 | $549.54 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $295.12 Typical High $1,778.28 | Facility | None | $275.42 | $295.12 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $346.74 | Professional | None | $158.49 | $229.09 | $346.74 |
United Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $323.59 | Professional | None | $147.91 | $229.09 | $323.59 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $22.91 Typical High $32.36 | Professional | RR · Rental | $14.79 | $22.91 | $32.36 |
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 $109.65 Median $169.82 Typical High $245.47 | Professional | UE · Used equipment | $109.65 | $169.82 | $245.47 |
Where North Dakota sits
The same service costs 2.2 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
$363
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.