How much rates vary
Facilitymedian $513 · 10th to 90th $135 to $977Professionalmedian $1,122 · 10th to 90th $661 to $1,738
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 $512.86 Median $691.83 Typical High $707.95 | Facility | None | $512.86 | $691.83 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $794.33 | Professional | None | $489.78 | $660.69 | $794.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,737.80 | Professional | None | $851.14 | $1,230.27 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,023.29 Median $1,479.11 Typical High $2,089.30 | Professional | 22 · Increased work | $1,023.29 | $1,479.11 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,380.38 | Facility | None | $1,202.26 | $1,202.26 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,905.46 | Professional | None | $645.65 | $1,202.26 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $512.86 Typical High $977.24 | Facility | None | $125.89 | $512.86 | $977.24 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $3,630.78 | Professional | None | $724.44 | $1,412.54 | $3,630.78 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,513.56 | Professional | None | $537.03 | $1,023.29 | $1,513.56 |
12 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 $257.04 Median $257.04 Typical High $354.81 | Facility | 52 · Reduced service | $257.04 | $257.04 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $141.25 | Facility | 53 · Discontinued | $102.33 | $102.33 | $141.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $537.03 | Facility | 54 · Surgery only | $389.05 | $389.05 | $537.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $107.15 | Facility | 55 · Aftercare only | $77.62 | $77.62 | $107.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | 56 · Pre-op care only | $51.29 | $51.29 | $70.79 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $363.08 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $331.13 Typical High $363.08 | Professional | 52 · Reduced service | $257.04 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $102.33 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $389.05 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $51.29 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $363.08 | $457.09 | $501.19 |
Where North Dakota sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$1,047
AK $1,950MD $537
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.