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 $1,071.52 Median $1,071.52 Typical High $1,096.48 | Facility | None | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,071.52 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,344.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,621.81 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,258.93 | $1,621.81 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,737.80 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,737.80 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,862.09 | $1,862.09 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,202.26 | $2,238.72 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $3,235.94 Typical High $5,370.32 | Facility | None | $1,071.52 | $3,235.94 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,737.80 | $2,818.38 |
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 $1,047.13 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,737.80 | $2,137.96 |
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 $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | 22 · Increased work | $2,187.76 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,467.37 Typical High $4,073.80 | Professional | 50 · Both sides | $2,691.53 | $3,467.37 | $4,073.80 |
Where North Dakota sits
The same service costs 13.8 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· 10th of 51
$2,042
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.