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 $851.14 Median $851.14 Typical High $5,011.87 | Facility | None | $851.14 | $851.14 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | None | $851.14 | $851.14 | $870.96 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,905.46 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $190.55 Typical High $229.09 | Professional | 56 · Pre-op care only | $151.36 | $190.55 | $229.09 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,445.44 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,445.44 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,513.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $2,691.53 | Professional | None | $977.24 | $1,819.70 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,235.94 | Facility | None | $851.14 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,187.76 | Professional | None | $891.25 | $1,513.56 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,659.59 | Professional | None | $891.25 | $1,513.56 | $1,659.59 |
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 $1,819.70 Median $2,290.87 Typical High $2,754.23 | Professional | 22 · Increased work | $1,819.70 | $2,290.87 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,884.03 Typical High $3,467.37 | Professional | 50 · Both sides | $2,238.72 | $2,884.03 | $3,467.37 |
Where North Dakota sits
The same service costs 8.1 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
$1,698
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.