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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,819.70 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,344.23 | $2,754.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,818.38 Median $3,311.31 Typical High $3,311.31 | Professional | 22 · Increased work | $2,818.38 | $3,311.31 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $467.74 | $549.54 | $549.54 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $234.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Facility | None | $1,778.28 | $1,778.28 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,818.38 | $2,884.03 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $11,481.54 | Facility | None | $1,819.70 | $1,862.09 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,548.82 | $2,290.87 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $2,187.76 | Professional | None | $912.01 | $1,548.82 | $2,187.76 |
United Setting Professional Modifier RR · Rental Typical Low $91.20 Median $154.88 Typical High $218.78 | Professional | RR · Rental | $91.20 | $154.88 | $218.78 |
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 $691.83 Median $1,148.15 Typical High $1,659.59 | Professional | UE · Used equipment | $691.83 | $1,148.15 | $1,659.59 |
Where North Dakota sits
The same service costs 4.7 times more in Kansas than in Illinois. 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
$2,344
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.