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 $398.11 Median $398.11 Typical High $1,995.26 | Facility | None | $398.11 | $398.11 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
BCBS North Dakota Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | None | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $645.65 Typical High $758.58 | Professional | 54 · Surgery only | $501.19 | $645.65 | $758.58 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $691.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $537.03 | $691.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $831.76 | Facility | None | $724.44 | $724.44 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $870.96 Typical High $1,288.25 | Professional | None | $446.68 | $870.96 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $1,202.26 | Facility | None | $398.11 | $602.56 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $1,047.13 | Professional | None | $416.87 | $707.95 | $1,047.13 |
United Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $794.33 | Professional | None | $416.87 | $707.95 | $794.33 |
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 $851.14 Median $1,096.48 Typical High $1,288.25 | Professional | 22 · Increased work | $851.14 | $1,096.48 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,380.38 Typical High $1,621.81 | Professional | 50 · Both sides | $1,071.52 | $1,380.38 | $1,621.81 |
Where North Dakota sits
The same service costs 8.1 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
$794
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.