How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,862 to $4,266Professionalmedian $3,890 · 10th to 90th $2,239 to $5,370
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 $1,862.09 Median $1,862.09 Typical High $2,238.72 | Facility | None | $1,862.09 | $1,862.09 | $2,238.72 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $223.87 | Facility | 56 · Pre-op care only | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,238.72 | Professional | None | $1,862.09 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $208.93 Typical High $223.87 | Professional | 56 · Pre-op care only | $186.21 | $208.93 | $223.87 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $5,370.32 | Professional | None | $3,019.95 | $3,981.07 | $5,370.32 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,630.78 Median $4,786.30 Typical High $6,456.54 | Professional | 22 · Increased work | $3,630.78 | $4,786.30 | $6,456.54 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $4,570.88 Median $6,025.60 Typical High $7,943.28 | Professional | 50 · Both sides | $4,570.88 | $6,025.60 | $7,943.28 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $302.00 Median $398.11 Typical High $537.03 | Professional | 56 · Pre-op care only | $302.00 | $398.11 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,715.35 | $3,715.35 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $5,888.44 | Professional | None | $2,398.83 | $3,981.07 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $4,466.84 | Facility | None | $1,862.09 | $2,951.21 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $4,677.35 Typical High $13,182.57 | Professional | None | $2,290.87 | $4,677.35 | $13,182.57 |
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 $5,011.87 | Professional | None | $1,949.84 | $3,801.89 | $5,011.87 |
8 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 $933.25 Median $933.25 Typical High $1,122.02 | Facility | 52 · Reduced service | $933.25 | $933.25 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $446.68 | Facility | 53 · Discontinued | $371.54 | $371.54 | $446.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $338.84 | Facility | 55 · Aftercare only | $281.84 | $281.84 | $338.84 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,584.89 | Facility | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,023.29 Typical High $1,122.02 | Professional | 52 · Reduced service | $933.25 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $416.87 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $309.03 Typical High $338.84 | Professional | 55 · Aftercare only | $281.84 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,445.44 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,445.44 | $1,584.89 |
Where North Dakota sits
The same service costs 5.5 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· 7th of 51
$3,802
AK $6,918TX $1,259
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.