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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,905.46 | $2,041.74 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,090.30 Median $3,981.07 Typical High $4,677.35 | Professional | None | $3,090.30 | $3,981.07 | $4,677.35 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,818.38 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,137.96 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $398.11 Typical High $467.74 | Professional | 56 · Pre-op care only | $309.03 | $398.11 | $467.74 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $3,019.95 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,290.87 | $3,019.95 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,890.45 | Facility | None | $3,388.44 | $3,388.44 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $6,456.54 | Professional | None | $2,884.03 | $4,073.80 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,011.87 | Facility | None | $2,041.74 | $3,162.28 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $4,365.16 | Professional | None | $2,137.96 | $3,715.35 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $4,466.84 | Professional | None | $1,949.84 | $3,801.89 | $4,466.84 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,715.35 Median $4,786.30 Typical High $5,623.41 | Professional | 22 · Increased work | $3,715.35 | $4,786.30 | $5,623.41 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $4,677.35 Median $6,025.60 Typical High $7,079.46 | Professional | 50 · Both sides | $4,677.35 | $6,025.60 | $7,079.46 |
Where North Dakota sits
The same service costs 8.5 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· 9th 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.