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 $575.44 Median $575.44 Typical High $5,011.87 | Facility | None | $575.44 | $575.44 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $891.25 | Professional | None | $478.63 | $575.44 | $891.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,479.11 | Professional | None | $954.99 | $1,258.93 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $676.08 | $870.96 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $95.50 | $125.89 | $147.91 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $724.44 | $933.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,148.15 | Facility | None | $1,000.00 | $1,000.00 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,778.28 | Professional | None | $676.08 | $1,202.26 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $3,235.94 Typical High $5,495.41 | Facility | None | $575.44 | $3,235.94 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,479.11 | Professional | None | $602.56 | $1,047.13 | $1,479.11 |
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 $602.56 Median $1,047.13 Typical High $1,122.02 | Professional | None | $602.56 | $1,047.13 | $1,122.02 |
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 $1,148.15 Median $1,513.56 Typical High $1,778.28 | Professional | 22 · Increased work | $1,148.15 | $1,513.56 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Professional | 50 · Both sides | $1,445.44 | $1,862.09 | $2,187.76 |
Where North Dakota sits
The same service costs 7.8 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
$1,122
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.