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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $724.44 | Professional | None | $707.95 | $724.44 | $724.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,348.96 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,380.38 Median $1,621.81 Typical High $1,621.81 | Professional | 22 · Increased work | $1,380.38 | $1,621.81 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $229.09 | $269.15 | $269.15 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $95.50 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $95.50 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,513.56 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $2,187.76 | Facility | None | $616.60 | $724.44 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $741.31 | Professional | None | $354.81 | $489.78 | $741.31 |
United Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $48.98 Typical High $74.13 | Professional | RR · Rental | $34.67 | $48.98 | $74.13 |
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 $263.03 Median $363.08 Typical High $549.54 | Professional | UE · Used equipment | $263.03 | $363.08 | $549.54 |
Where North Dakota sits
The same service costs 10.5 times more in North Dakota than in Mississippi. 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· 1st of 51
$1,148
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.