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 $676.08 Median $812.83 Typical High $870.96 | Professional | None | $676.08 | $812.83 | $870.96 |
BCBS North Dakota Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | None | $954.99 | $1,122.02 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,148.15 Median $1,348.96 Typical High $1,348.96 | Professional | 22 · Increased work | $1,148.15 | $1,348.96 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $190.55 | $223.87 | $223.87 |
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 $676.08 Median $676.08 Typical High $891.25 | Facility | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,445.44 | Professional | None | $1,148.15 | $1,174.90 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $4,786.30 | Facility | None | $812.83 | $912.01 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,122.02 | Professional | None | $436.52 | $741.31 | $1,122.02 |
Medica Setting Professional Modifier RR · Rental Typical Low $43.65 Median $74.13 Typical High $104.71 | Professional | RR · Rental | $43.65 | $74.13 | $104.71 |
United Setting Professional Modifier None Typical Low $380.19 Median $741.31 Typical High $1,047.13 | Professional | None | $380.19 | $741.31 | $1,047.13 |
United Setting Professional Modifier RR · Rental Typical Low $38.02 Median $74.13 Typical High $104.71 | Professional | RR · Rental | $38.02 | $74.13 | $104.71 |
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 $281.84 Median $549.54 Typical High $794.33 | Professional | UE · Used equipment | $281.84 | $549.54 | $794.33 |
Where North Dakota sits
The same service costs 5.4 times more in Kansas 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· 14th of 51
$955
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.