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 $588.84 Median $588.84 Typical High $6,456.54 | Facility | None | $588.84 | $588.84 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,000.00 | $1,288.25 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $100.00 | $128.82 | $151.36 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $954.99 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $741.31 | $954.99 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Facility | None | $1,023.29 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,819.70 | Professional | None | $691.83 | $1,230.27 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,995.26 Typical High $3,235.94 | Facility | None | $588.84 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,513.56 | Professional | None | $616.60 | $1,096.48 | $1,513.56 |
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 $616.60 Median $1,071.52 Typical High $1,148.15 | Professional | None | $616.60 | $1,071.52 | $1,148.15 |
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 $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | 22 · Increased work | $1,202.26 | $1,548.82 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,905.46 Typical High $2,290.87 | Professional | 50 · Both sides | $1,479.11 | $1,905.46 | $2,290.87 |
Where North Dakota sits
The same service costs 14.1 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· 9th of 51
$1,148
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.