How much rates vary
Facilitymedian $3,236 · 10th to 90th $708 to $5,495Professionalmedian $1,349 · 10th to 90th $708 to $1,778
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 $707.95 Median $707.95 Typical High $8,511.38 | Facility | None | $707.95 | $707.95 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,071.52 | Professional | None | $660.69 | $707.95 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,513.56 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,047.13 Typical High $1,230.27 | Professional | 54 · Surgery only | $812.83 | $1,047.13 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $870.96 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,380.38 | Facility | None | $1,202.26 | $1,202.26 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $2,187.76 | Professional | None | $851.14 | $1,445.44 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $3,235.94 Typical High $5,370.32 | Facility | None | $707.95 | $3,235.94 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,819.70 | Professional | None | $741.31 | $1,288.25 | $1,819.70 |
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 $741.31 Median $1,318.26 Typical High $1,412.54 | Professional | None | $741.31 | $1,318.26 | $1,412.54 |
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 $1,737.80 Median $2,238.72 Typical High $2,630.27 | Professional | 50 · Both sides | $1,737.80 | $2,238.72 | $2,630.27 |
Where North Dakota sits
The same service costs 6.1 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 $13,882MT $2,270
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.