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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,801.89 | Professional | None | $2,454.71 | $3,090.30 | $3,801.89 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,630.78 | $4,786.30 | $4,786.30 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,365.16 Median $5,754.40 Typical High $5,754.40 | Professional | 22 · Increased work | $4,365.16 | $5,754.40 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $5,248.07 Typical High $6,606.93 | Professional | None | $3,630.78 | $5,248.07 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $21,379.62 | Facility | None | $1,905.46 | $3,090.30 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $3,467.37 | Professional | None | $1,698.24 | $3,019.95 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $3,467.37 | Professional | None | $1,584.89 | $3,019.95 | $3,467.37 |
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 $676.08 Median $1,230.27 Typical High $1,348.96 | Professional | RR · Rental | $676.08 | $1,230.27 | $1,348.96 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $2,884.03 Typical High $3,235.94 | Professional | UE · Used equipment | $1,621.81 | $2,884.03 | $3,235.94 |
United Setting Professional Modifier RR · Rental Typical Low $630.96 Median $891.25 Typical High $1,380.38 | Professional | RR · Rental | $630.96 | $891.25 | $1,380.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $2,089.30 Typical High $3,311.31 | Professional | UE · Used equipment | $1,513.56 | $2,089.30 | $3,311.31 |
Where North Dakota sits
The same service costs 2.0 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
$4,074
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.