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 $616.60 Median $616.60 Typical High $6,456.54 | Facility | None | $616.60 | $616.60 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | None | $616.60 | $616.60 | $630.96 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,348.96 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $954.99 Typical High $1,122.02 | Professional | 54 · Surgery only | $741.31 | $954.99 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | 56 · Pre-op care only | $104.71 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $794.33 | $1,023.29 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Facility | None | $1,071.52 | $1,071.52 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,949.84 | Professional | None | $741.31 | $1,288.25 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,584.89 Typical High $2,754.23 | Facility | None | $616.60 | $1,584.89 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,621.81 | Professional | None | $645.65 | $1,148.15 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,630.27 | Facility | None | $1,513.56 | $2,344.23 | $2,630.27 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,148.15 Typical High $1,230.27 | Professional | None | $645.65 | $1,148.15 | $1,230.27 |
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 $1,258.93 Median $1,621.81 Typical High $1,905.46 | Professional | 22 · Increased work | $1,258.93 | $1,621.81 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,584.89 Median $2,041.74 Typical High $2,398.83 | Professional | 50 · Both sides | $1,584.89 | $2,041.74 | $2,398.83 |
Where North Dakota sits
The same service costs 8.3 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· 10th of 51
$1,230
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.