How much rates vary
Facilitymedian $3,236 · 10th to 90th $724 to $5,754Professionalmedian $1,380 · 10th to 90th $759 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $724.44 Median $724.44 Typical High $6,456.54 | Facility | None | $724.44 | $724.44 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,513.56 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,071.52 Typical High $1,258.93 | Professional | 54 · Surgery only | $831.76 | $1,071.52 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $181.97 | Professional | 56 · Pre-op care only | $117.49 | $151.36 | $181.97 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,148.15 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $891.25 | $1,148.15 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,445.44 | Facility | None | $1,258.93 | $1,258.93 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $2,238.72 | Professional | None | $870.96 | $1,513.56 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $5,754.40 | Facility | None | $724.44 | $3,235.94 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $1,905.46 | Professional | None | $758.58 | $1,348.96 | $1,905.46 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $5,495.41 | Facility | None | $3,235.94 | $4,897.79 | $5,495.41 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $1,445.44 | Professional | None | $758.58 | $1,348.96 | $1,445.44 |
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 $1,412.54 Median $1,819.70 Typical High $2,137.96 | Professional | 22 · Increased work | $1,412.54 | $1,819.70 | $2,137.96 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,290.87 Typical High $2,691.53 | Professional | 50 · Both sides | $1,778.28 | $2,290.87 | $2,691.53 |
Where North Dakota sits
The same service costs 6.2 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $14,513MT $2,350
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.