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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,548.82 | $1,995.26 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,380.38 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,071.52 | $1,380.38 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | 56 · Pre-op care only | $154.88 | $199.53 | $234.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,479.11 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,479.11 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,584.89 | $1,584.89 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $2,884.03 | Professional | None | $1,122.02 | $1,905.46 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $3,235.94 Typical High $5,495.41 | Facility | None | $933.25 | $3,235.94 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $2,398.83 | Professional | None | $977.24 | $1,737.80 | $2,398.83 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $5,495.41 | Facility | None | $3,235.94 | $4,897.79 | $5,495.41 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $1,862.09 | Professional | None | $977.24 | $1,737.80 | $1,862.09 |
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 $1,819.70 Median $2,398.83 Typical High $2,818.38 | Professional | 22 · Increased work | $1,819.70 | $2,398.83 | $2,818.38 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $2,951.21 Typical High $3,467.37 | Professional | 50 · Both sides | $2,290.87 | $2,951.21 | $3,467.37 |
Where North Dakota sits
The same service costs 7.9 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
$1,820
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.