How much rates vary
Facilitymedian $3,236 · 10th to 90th $891 to $5,754Professionalmedian $1,698 · 10th to 90th $891 to $2,239
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 $891.25 Median $891.25 Typical High $8,511.38 | Facility | None | $891.25 | $891.25 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,122.02 | Professional | None | $776.25 | $891.25 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,905.46 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,318.26 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,023.29 | $1,318.26 | $1,548.82 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | 56 · Pre-op care only | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,412.54 | $1,659.59 |
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 $1,047.13 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,819.70 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $3,235.94 Typical High $5,754.40 | Facility | None | $891.25 | $3,235.94 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,290.87 | Professional | None | $933.25 | $1,659.59 | $2,290.87 |
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 $933.25 Median $1,659.59 Typical High $1,778.28 | Professional | None | $933.25 | $1,659.59 | $1,778.28 |
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 $1,778.28 Median $2,290.87 Typical High $2,691.53 | Professional | 22 · Increased work | $1,778.28 | $2,290.87 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | 50 · Both sides | $2,187.76 | $2,818.38 | $3,311.31 |
Where North Dakota sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.