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 $588.84 Median $588.84 Typical High $5,011.87 | Facility | None | $588.84 | $588.84 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $616.60 | Professional | None | $588.84 | $588.84 | $616.60 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,288.25 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $100.00 | $128.82 | $151.36 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $977.24 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $758.58 | $977.24 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Facility | None | $1,023.29 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,862.09 | Professional | None | $691.83 | $1,230.27 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,584.89 Typical High $2,754.23 | Facility | None | $588.84 | $1,584.89 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,513.56 | Professional | None | $616.60 | $1,096.48 | $1,513.56 |
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 $616.60 Median $1,096.48 Typical High $1,174.90 | Professional | None | $616.60 | $1,096.48 | $1,174.90 |
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 $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | 22 · Increased work | $1,202.26 | $1,548.82 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,949.84 Typical High $2,290.87 | Professional | 50 · Both sides | $1,513.56 | $1,949.84 | $2,290.87 |
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· 8th of 51
$1,175
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.