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 $758.58 Median $758.58 Typical High $5,011.87 | Facility | None | $758.58 | $758.58 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Professional | None | $758.58 | $758.58 | $794.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,621.81 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,148.15 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,148.15 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $190.55 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $954.99 | $1,230.27 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,318.26 | $1,318.26 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,344.23 | Professional | None | $891.25 | $1,584.89 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $4,570.88 | Facility | None | $758.58 | $2,818.38 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,412.54 Typical High $1,949.84 | Professional | None | $794.33 | $1,412.54 | $1,949.84 |
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 $794.33 Median $1,412.54 Typical High $1,513.56 | Professional | None | $794.33 | $1,412.54 | $1,513.56 |
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 $1,513.56 Median $1,949.84 Typical High $2,290.87 | Professional | 22 · Increased work | $1,513.56 | $1,949.84 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,454.71 Typical High $2,884.03 | Professional | 50 · Both sides | $1,905.46 | $2,454.71 | $2,884.03 |
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· 9th of 51
$1,479
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.