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 $1,288.25 Median $1,288.25 Typical High $6,456.54 | Facility | None | $1,288.25 | $1,288.25 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,137.96 | $2,754.23 | $3,235.94 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,905.46 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,479.11 | $1,905.46 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | 56 · Pre-op care only | $213.80 | $275.42 | $323.59 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,041.74 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,041.74 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Facility | None | $2,187.76 | $2,187.76 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,630.27 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $3,235.94 Typical High $5,495.41 | Facility | None | $1,288.25 | $3,235.94 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,348.96 | $2,344.23 | $3,311.31 |
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 $1,348.96 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,348.96 | $2,344.23 | $2,570.40 |
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 $2,570.40 Median $3,311.31 Typical High $3,890.45 | Professional | 22 · Increased work | $2,570.40 | $3,311.31 | $3,890.45 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $3,162.28 Median $4,168.69 Typical High $4,897.79 | Professional | 50 · Both sides | $3,162.28 | $4,168.69 | $4,897.79 |
Where North Dakota sits
The same service costs 7.4 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· 8th of 51
$2,512
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.