How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,413 to $4,266Professionalmedian $3,020 · 10th to 90th $1,778 to $4,169
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 $1,412.54 Median $1,412.54 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,412.54 | $1,778.28 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $177.83 | Facility | 56 · Pre-op care only | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $141.25 | $162.18 | $177.83 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $4,168.69 | Professional | None | $2,344.23 | $3,090.30 | $4,168.69 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,754.23 Median $3,715.35 Typical High $5,011.87 | Professional | 22 · Increased work | $2,754.23 | $3,715.35 | $5,011.87 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $309.03 Typical High $416.87 | Professional | 56 · Pre-op care only | $234.42 | $309.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,388.44 | Facility | None | $2,951.21 | $2,951.21 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $4,570.88 | Professional | None | $1,819.70 | $3,019.95 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,511.89 Typical High $4,265.80 | Facility | None | $1,412.54 | $2,511.89 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $10,000.00 | Professional | None | $1,778.28 | $3,548.13 | $10,000.00 |
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 $1,445.44 Median $2,818.38 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,818.38 | $3,801.89 |
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 $707.95 Median $707.95 Typical High $870.96 | Facility | 52 · Reduced service | $707.95 | $707.95 | $870.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $354.81 | Facility | 53 · Discontinued | $281.84 | $281.84 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $263.03 | Facility | 55 · Aftercare only | $213.80 | $213.80 | $263.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,230.27 | Facility | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $707.95 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $281.84 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $245.47 Typical High $263.03 | Professional | 55 · Aftercare only | $213.80 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,148.15 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,148.15 | $1,230.27 |
Where North Dakota sits
The same service costs 5.1 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
$2,884
AK $5,248TX $1,023
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.