How much rates vary
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 $95.50 Median $158.49 Typical High $2,511.89 | Facility | None | $95.50 | $158.49 | $2,511.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $117.49 | Facility | 54 · Surgery only | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $158.49 | Professional | None | $87.10 | $131.83 | $158.49 |
BCBS North Dakota Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $389.05 | Professional | None | $165.96 | $245.47 | $389.05 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $199.53 Median $295.12 Typical High $467.74 | Professional | 22 · Increased work | $199.53 | $295.12 | $467.74 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $169.82 Typical High $275.42 | Professional | 54 · Surgery only | $117.49 | $169.82 | $275.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $181.97 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $125.89 | $181.97 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $316.23 | Facility | None | $275.42 | $275.42 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $436.52 | Professional | None | $162.18 | $269.15 | $436.52 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $229.09 Typical High $1,202.26 | Facility | None | $95.50 | $229.09 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $3,162.28 | Professional | None | $162.18 | $281.84 | $3,162.28 |
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 $100.00 Median $181.97 Typical High $295.12 | Professional | None | $100.00 | $181.97 | $295.12 |
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 $47.86 Median $47.86 Typical High $79.43 | Facility | 52 · Reduced service | $47.86 | $47.86 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $31.62 | Facility | 53 · Discontinued | $19.05 | $19.05 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $23.99 | Facility | 55 · Aftercare only | $14.45 | $14.45 | $23.99 |
Where North Dakota sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 9th of 51
$219
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.