How much rates vary
Facilitymedian $2,818 · 10th to 90th $741 to $5,012Professionalmedian $1,413 · 10th to 90th $741 to $1,862
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 $741.31 Median $741.31 Typical High $2,344.23 | Facility | None | $741.31 | $741.31 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,122.02 | Professional | None | $691.83 | $741.31 | $1,122.02 |
BCBS North Dakota Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $8,912.51 | Facility | None | $6,760.83 | $6,760.83 | $8,912.51 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,584.89 | $1,862.09 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | 54 · Surgery only | $870.96 | $1,122.02 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | 56 · Pre-op care only | $123.03 | $158.49 | $186.21 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,202.26 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $933.25 | $1,202.26 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $2,290.87 | Professional | None | $891.25 | $1,548.82 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $2,884.03 Typical High $5,011.87 | Facility | None | $741.31 | $2,884.03 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,905.46 | Professional | None | $776.25 | $1,380.38 | $1,905.46 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,479.11 | Professional | None | $776.25 | $1,380.38 | $1,479.11 |
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 $1,479.11 Median $1,905.46 Typical High $2,238.72 | Professional | 22 · Increased work | $1,479.11 | $1,905.46 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,398.83 Typical High $2,818.38 | Professional | 50 · Both sides | $1,862.09 | $2,398.83 | $2,818.38 |
Where North Dakota sits
The same service costs 5.7 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 $13,613MT $2,377
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.