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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $549.54 | Professional | None | $524.81 | $549.54 | $549.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 22 · Increased work | $891.25 | $1,047.13 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $173.78 | $173.78 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $74.13 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,122.02 | Professional | None | $891.25 | $891.25 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $1,659.59 | Facility | None | $549.54 | $630.96 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $645.65 | Professional | None | $316.23 | $436.52 | $645.65 |
United Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $630.96 | Professional | None | $295.12 | $436.52 | $630.96 |
United Setting Professional Modifier RR · Rental Typical Low $29.51 Median $43.65 Typical High $63.10 | Professional | RR · Rental | $29.51 | $43.65 | $63.10 |
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 $223.87 Median $323.59 Typical High $478.63 | Professional | UE · Used equipment | $223.87 | $323.59 | $478.63 |
Where North Dakota sits
The same service costs 2.2 times more in Hawaii than in Arizona. 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
$741
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.