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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $4,265.80 | Professional | None | $2,691.53 | $3,467.37 | $4,265.80 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $5,370.32 | Professional | None | $3,981.07 | $5,370.32 | $5,370.32 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,786.30 Median $6,309.57 Typical High $6,456.54 | Professional | 22 · Increased work | $4,786.30 | $6,309.57 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $5,888.44 Typical High $7,244.36 | Professional | None | $2,818.38 | $5,888.44 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,467.37 Typical High $23,442.29 | Facility | None | $2,137.96 | $3,467.37 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,801.89 | Professional | None | $1,905.46 | $3,388.44 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $3,388.44 Typical High $3,801.89 | Professional | None | $1,737.80 | $3,388.44 | $3,801.89 |
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 $758.58 Median $1,348.96 Typical High $1,513.56 | Professional | RR · Rental | $758.58 | $1,348.96 | $1,513.56 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $3,235.94 Typical High $3,548.13 | Professional | UE · Used equipment | $1,778.28 | $3,235.94 | $3,548.13 |
United Setting Professional Modifier RR · Rental Typical Low $707.95 Median $977.24 Typical High $1,548.82 | Professional | RR · Rental | $707.95 | $977.24 | $1,548.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $2,344.23 Typical High $3,630.78 | Professional | UE · Used equipment | $1,659.59 | $2,344.23 | $3,630.78 |
Where North Dakota sits
The same service costs 2.2 times more in Hawaii than in Colorado. 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
$4,467
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.