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 $954.99 Median $954.99 Typical High $6,456.54 | Facility | None | $954.99 | $954.99 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | None | $933.25 | $954.99 | $954.99 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,548.82 | $1,995.26 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,096.48 | $1,412.54 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | 56 · Pre-op care only | $154.88 | $199.53 | $234.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,513.56 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,513.56 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,621.81 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,122.02 | $1,949.84 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $4,570.88 | Facility | None | $954.99 | $2,818.38 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,778.28 | $2,454.71 |
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 $1,000.00 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,000.00 | $1,778.28 | $1,905.46 |
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 $1,862.09 Median $2,398.83 Typical High $2,818.38 | Professional | 22 · Increased work | $1,862.09 | $2,398.83 | $2,818.38 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $3,019.95 Typical High $3,548.13 | Professional | 50 · Both sides | $2,344.23 | $3,019.95 | $3,548.13 |
Where North Dakota sits
The same service costs 16.2 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
$1,820
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.