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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,187.76 | $2,754.23 | $3,388.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,235.94 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,235.94 | $4,265.80 | $4,265.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,890.45 Median $5,128.61 Typical High $5,128.61 | Professional | 22 · Increased work | $3,890.45 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $4,677.35 Typical High $5,888.44 | Professional | None | $3,235.94 | $4,677.35 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $2,754.23 Typical High $19,054.61 | Facility | None | $1,698.24 | $2,754.23 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $3,090.30 | Professional | None | $1,513.56 | $2,691.53 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $3,090.30 | Professional | None | $1,412.54 | $2,691.53 | $3,090.30 |
4 more rates 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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier RR · Rental Typical Low $602.56 Median $1,096.48 Typical High $1,230.27 | Professional | RR · Rental | $602.56 | $1,096.48 | $1,230.27 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $2,570.40 Typical High $2,884.03 | Professional | UE · Used equipment | $1,445.44 | $2,570.40 | $2,884.03 |
United Setting Professional Modifier RR · Rental Typical Low $562.34 Median $794.33 Typical High $1,230.27 | Professional | RR · Rental | $562.34 | $794.33 | $1,230.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,862.09 Typical High $2,951.21 | Professional | UE · Used equipment | $1,348.96 | $1,862.09 | $2,951.21 |
Where North Dakota sits
The same service costs 2.2 times more in Hawaii than in Washington, DC. 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
$3,631
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.