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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | None | $134.90 | $141.25 | $141.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | None | $190.55 | $223.87 | $223.87 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | 22 · Increased work | $229.09 | $269.15 | $269.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $38.02 | $44.67 | $44.67 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $19.05 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | None | $229.09 | $229.09 | $288.40 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $162.18 Typical High $426.58 | Facility | None | $141.25 | $162.18 | $426.58 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $165.96 | Professional | None | $79.43 | $109.65 | $165.96 |
United Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $162.18 | Professional | None | $75.86 | $109.65 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $7.59 Median $10.96 Typical High $16.22 | Professional | RR · Rental | $7.59 | $10.96 | $16.22 |
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 $57.54 Median $83.18 Typical High $120.23 | Professional | UE · Used equipment | $57.54 | $83.18 | $120.23 |
Where North Dakota sits
The same service costs 2.9 times more in Kansas 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· 6th of 51
$191
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.