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 $831.76 Median $831.76 Typical High $6,456.54 | Facility | None | $831.76 | $831.76 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,778.28 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,230.27 Typical High $1,479.11 | Professional | 54 · Surgery only | $954.99 | $1,230.27 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $177.83 Typical High $208.93 | Professional | 56 · Pre-op care only | $138.04 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,318.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,318.26 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,412.54 | $1,412.54 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $2,570.40 | Professional | None | $933.25 | $1,698.24 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $4,570.88 | Facility | None | $831.76 | $2,818.38 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,548.82 Typical High $2,137.96 | Professional | None | $870.96 | $1,548.82 | $2,137.96 |
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 $870.96 Median $1,548.82 Typical High $1,659.59 | Professional | None | $870.96 | $1,548.82 | $1,659.59 |
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 $1,659.59 Median $2,137.96 Typical High $2,511.89 | Professional | 22 · Increased work | $1,659.59 | $2,137.96 | $2,511.89 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,691.53 Typical High $3,162.28 | Professional | 50 · Both sides | $2,041.74 | $2,691.53 | $3,162.28 |
Where North Dakota sits
The same service costs 7.6 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
$1,622
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.