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 $1,995.26 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,995.26 | $2,041.74 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $4,897.79 | Professional | None | $3,235.94 | $4,168.69 | $4,897.79 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,951.21 Typical High $3,467.37 | Professional | 54 · Surgery only | $2,290.87 | $2,951.21 | $3,467.37 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | 56 · Pre-op care only | $323.59 | $416.87 | $489.78 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $3,162.28 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $2,454.71 | $3,162.28 | $3,715.35 |
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 $2,454.71 Median $4,073.80 Typical High $6,165.95 | Professional | None | $2,454.71 | $4,073.80 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $5,495.41 | Facility | None | $2,041.74 | $3,467.37 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $5,248.07 | Professional | None | $2,137.96 | $3,630.78 | $5,248.07 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $5,495.41 | Facility | None | $3,235.94 | $4,897.79 | $5,495.41 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $4,073.80 | Professional | None | $2,137.96 | $3,630.78 | $4,073.80 |
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 $3,890.45 Median $5,011.87 Typical High $5,888.44 | Professional | 22 · Increased work | $3,890.45 | $5,011.87 | $5,888.44 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $4,897.79 Median $6,309.57 Typical High $7,413.10 | Professional | 50 · Both sides | $4,897.79 | $6,309.57 | $7,413.10 |
Where North Dakota sits
The same service costs 19.5 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· 10th of 51
$3,802
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.