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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,801.89 | $3,890.45 | $4,073.80 |
BCBS North Dakota Setting Professional Modifier None Typical Low $6,165.95 Median $7,943.28 Typical High $9,332.54 | Professional | None | $6,165.95 | $7,943.28 | $9,332.54 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $4,265.80 Median $5,495.41 Typical High $6,456.54 | Professional | 54 · Surgery only | $4,265.80 | $5,495.41 | $6,456.54 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $794.33 Typical High $933.25 | Professional | 56 · Pre-op care only | $616.60 | $794.33 | $933.25 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,570.88 Median $5,888.44 Typical High $6,918.31 | Professional | 78 · Unplanned return to OR | $4,570.88 | $5,888.44 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,413.10 | Facility | None | $6,456.54 | $6,456.54 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $7,762.47 Typical High $11,748.98 | Professional | None | $4,677.35 | $7,762.47 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $11,748.98 | Facility | None | $3,890.45 | $5,248.07 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $7,244.36 Typical High $10,000.00 | Professional | None | $4,168.69 | $7,244.36 | $10,000.00 |
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 $4,168.69 Median $7,244.36 Typical High $7,943.28 | Professional | None | $4,168.69 | $7,244.36 | $7,943.28 |
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 $7,413.10 Median $9,549.93 Typical High $11,220.18 | Professional | 22 · Increased work | $7,413.10 | $9,549.93 | $11,220.18 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $9,120.11 Median $11,748.98 Typical High $13,803.84 | Professional | 50 · Both sides | $9,120.11 | $11,748.98 | $13,803.84 |
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· 9th of 51
$7,244
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.