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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $25.12 Typical High $25.12 | Professional | None | $12.02 | $25.12 | $25.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 22 · Increased work | $39.81 | $46.77 | $46.77 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $6.61 | $7.76 | $7.76 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.31 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None | $39.81 | $39.81 | $50.12 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $74.13 | Facility | None | $25.12 | $25.12 | $74.13 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $33.11 | Professional | None | $14.45 | $21.88 | $33.11 |
United Setting Professional Modifier None Typical Low $12.30 Median $21.88 Typical High $31.62 | Professional | None | $12.30 | $21.88 | $31.62 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $2.24 Typical High $3.16 | Professional | RR · Rental | $1.23 | $2.24 | $3.16 |
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 $9.12 Median $16.60 Typical High $23.44 | Professional | UE · Used equipment | $9.12 | $16.60 | $23.44 |
Where North Dakota sits
The same service costs 2.4 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· 8th of 51
$33.11
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.