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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | None | $457.09 | $537.03 | $537.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | 22 · Increased work | $549.54 | $645.65 | $645.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $107.15 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $45.71 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $691.83 | Professional | None | $549.54 | $562.34 | $691.83 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $2,238.72 | Facility | None | $346.74 | $371.54 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $436.52 | Professional | None | $204.17 | $288.40 | $436.52 |
United Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $416.87 | Professional | None | $186.21 | $288.40 | $416.87 |
United Setting Professional Modifier RR · Rental Typical Low $18.62 Median $28.84 Typical High $41.69 | Professional | RR · Rental | $18.62 | $28.84 | $41.69 |
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 $138.04 Median $218.78 Typical High $309.03 | Professional | UE · Used equipment | $138.04 | $218.78 | $309.03 |
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· 9th of 51
$457
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.