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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,698.24 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,202.26 Typical High $1,412.54 | Professional | 54 · Surgery only | $912.01 | $1,202.26 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,288.25 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $977.24 | $1,288.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Facility | None | $1,348.96 | $1,348.96 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,454.71 | Professional | None | $933.25 | $1,659.59 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $3,235.94 | Facility | None | $794.33 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $2,041.74 | Professional | None | $831.76 | $1,479.11 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $1,584.89 | Professional | None | $831.76 | $1,479.11 | $1,584.89 |
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 $1,584.89 Median $2,041.74 Typical High $2,398.83 | Professional | 22 · Increased work | $1,584.89 | $2,041.74 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $2,570.40 Typical High $3,019.95 | Professional | 50 · Both sides | $1,995.26 | $2,570.40 | $3,019.95 |
Where North Dakota sits
The same service costs 7.4 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
$1,549
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.