How much rates vary
Facilitymedian $933 · 10th to 90th $759 to $1,778Professionalmedian $1,622 · 10th to 90th $933 to $2,239
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $758.58 Median $933.25 Typical High $933.25 | Facility | None | $758.58 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $691.83 | Facility | 54 · Surgery only | $575.44 | $575.44 | $691.83 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $93.33 | Facility | 56 · Pre-op care only | $75.86 | $75.86 | $93.33 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $645.65 | Facility | 78 · Unplanned return to OR | $537.03 | $537.03 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $977.24 | Professional | None | $707.95 | $794.33 | $977.24 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,698.24 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,548.82 Median $2,041.74 Typical High $2,691.53 | Professional | 22 · Increased work | $1,548.82 | $2,041.74 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,174.90 Typical High $1,584.89 | Professional | 54 · Surgery only | $912.01 | $1,174.90 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $169.82 Typical High $223.87 | Professional | 56 · Pre-op care only | $128.82 | $169.82 | $223.87 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,258.93 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $977.24 | $1,258.93 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,621.81 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,819.70 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,778.28 | Facility | None | $758.58 | $1,023.29 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $5,623.41 | Professional | None | $954.99 | $1,778.28 | $5,623.41 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Facility | None | $758.58 | $1,023.29 | $1,698.24 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $1,862.09 | Professional | None | $794.33 | $1,445.44 | $1,862.09 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $467.74 | Facility | 52 · Reduced service | $380.19 | $380.19 | $467.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $186.21 | Facility | 53 · Discontinued | $154.88 | $154.88 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $138.04 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $138.04 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 8th of 51
$1,549
AK $3,090TX $708
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.