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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,162.28 | $3,235.94 | $3,235.94 |
BCBS North Dakota Setting Professional Modifier None Typical Low $5,128.61 Median $6,606.93 Typical High $7,762.47 | Professional | None | $5,128.61 | $6,606.93 | $7,762.47 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $3,548.13 Median $4,570.88 Typical High $5,370.32 | Professional | 54 · Surgery only | $3,548.13 | $4,570.88 | $5,370.32 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $660.69 Typical High $776.25 | Professional | 56 · Pre-op care only | $512.86 | $660.69 | $776.25 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,801.89 Median $4,897.79 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $3,801.89 | $4,897.79 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,165.95 | Facility | None | $5,370.32 | $5,370.32 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $9,772.37 | Professional | None | $3,890.45 | $6,456.54 | $9,772.37 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $9,772.37 | Facility | None | $3,235.94 | $4,570.88 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $5,754.40 Typical High $8,317.64 | Professional | None | $3,388.44 | $5,754.40 | $8,317.64 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $7,943.28 Typical High $12,302.69 | Facility | None | $3,981.07 | $7,943.28 | $12,302.69 |
United Setting Professional Modifier None Typical Low $3,388.44 Median $5,754.40 Typical High $6,456.54 | Professional | None | $3,388.44 | $5,754.40 | $6,456.54 |
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 $6,165.95 Median $7,943.28 Typical High $9,332.54 | Professional | 22 · Increased work | $6,165.95 | $7,943.28 | $9,332.54 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $7,585.78 Median $10,000.00 Typical High $11,748.98 | Professional | 50 · Both sides | $7,585.78 | $10,000.00 | $11,748.98 |
Where North Dakota sits
The same service costs 20.4 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
$6,026
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.