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 $1,000.00 Median $1,000.00 Typical High $8,511.38 | Facility | None | $1,000.00 | $1,000.00 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,584.89 | $2,041.74 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,412.54 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,096.48 | $1,412.54 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $204.17 Typical High $239.88 | Professional | 56 · Pre-op care only | $158.49 | $204.17 | $239.88 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,513.56 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,513.56 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,000.00 | $2,041.74 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $4,466.84 | Facility | None | $1,000.00 | $2,818.38 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,047.13 | $1,862.09 | $2,630.27 |
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 $1,000.00 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,862.09 | $1,995.26 |
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 $1,905.46 Median $2,454.71 Typical High $2,884.03 | Professional | 22 · Increased work | $1,905.46 | $2,454.71 | $2,884.03 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $3,090.30 Typical High $3,630.78 | Professional | 50 · Both sides | $2,344.23 | $3,090.30 | $3,630.78 |
Where North Dakota sits
The same service costs 18.2 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
$1,862
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.