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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,754.23 | $3,019.95 | $3,019.95 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,890.45 | $4,570.88 | $4,570.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Professional | 22 · Increased work | $4,677.35 | $5,495.41 | $5,495.41 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $776.25 | $912.01 | $912.01 |
BCBS North Dakota Setting Professional Modifier RR · Rental Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $389.05 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $4,786.30 Typical High $5,888.44 | Professional | None | $4,677.35 | $4,786.30 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $19,054.61 | Facility | None | $2,884.03 | $3,019.95 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,548.82 | $2,290.87 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,388.44 | Professional | None | $1,548.82 | $2,290.87 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $154.88 Median $229.09 Typical High $338.84 | Professional | RR · Rental | $154.88 | $229.09 | $338.84 |
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 $1,174.90 Median $1,737.80 Typical High $2,570.40 | Professional | UE · Used equipment | $1,174.90 | $1,737.80 | $2,570.40 |
Where North Dakota sits
The same service costs 3.2 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· 7th of 51
$3,890
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.