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 $1,174.90 Median $1,174.90 Typical High $6,456.54 | Facility | None | $1,174.90 | $1,174.90 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,174.90 | $1,174.90 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,344.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,288.25 | $1,659.59 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,778.28 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,778.28 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,995.26 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $3,548.13 | Professional | None | $1,380.38 | $2,398.83 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,995.26 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,995.26 | $3,090.30 |
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 $1,174.90 Median $1,995.26 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,995.26 | $2,238.72 |
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 $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | 22 · Increased work | $2,187.76 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,548.13 Typical High $4,168.69 | Professional | 50 · Both sides | $2,754.23 | $3,548.13 | $4,168.69 |
Where North Dakota sits
The same service costs 7.9 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
$2,138
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.