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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $812.83 | Professional | None | $776.25 | $812.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,258.93 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,288.25 Median $1,513.56 Typical High $1,513.56 | Professional | 22 · Increased work | $1,288.25 | $1,513.56 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $213.80 | $251.19 | $251.19 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $107.15 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,318.26 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $2,454.71 | Facility | None | $812.83 | $891.25 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $933.25 | Professional | None | $446.68 | $616.60 | $933.25 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $912.01 | Professional | None | $436.52 | $616.60 | $912.01 |
United Setting Professional Modifier RR · Rental Typical Low $43.65 Median $61.66 Typical High $91.20 | Professional | RR · Rental | $43.65 | $61.66 | $91.20 |
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 $323.59 Median $467.74 Typical High $691.83 | Professional | UE · Used equipment | $323.59 | $467.74 | $691.83 |
Where North Dakota sits
The same service costs 3.1 times more in Wisconsin than in Vermont. 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
$1,072
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.