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 $691.83 Median $691.83 Typical High $707.95 | Facility | None | $691.83 | $691.83 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None | $691.83 | $691.83 | $707.95 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,548.82 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,096.48 Typical High $1,288.25 | Professional | 54 · Surgery only | $831.76 | $1,096.48 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | 56 · Pre-op care only | $120.23 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,174.90 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $891.25 | $1,174.90 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,479.11 Typical High $2,187.76 | Professional | None | $794.33 | $1,479.11 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $3,235.94 Typical High $5,370.32 | Facility | None | $691.83 | $3,235.94 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,778.28 | Professional | None | $724.44 | $1,230.27 | $1,778.28 |
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 $724.44 Median $1,230.27 Typical High $1,380.38 | Professional | None | $724.44 | $1,230.27 | $1,380.38 |
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 $1,445.44 Median $1,862.09 Typical High $2,187.76 | Professional | 22 · Increased work | $1,445.44 | $1,862.09 | $2,187.76 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $2,344.23 Typical High $2,754.23 | Professional | 50 · Both sides | $1,778.28 | $2,344.23 | $2,754.23 |
Where North Dakota sits
The same service costs 19.5 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
$1,349
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.