How much rates vary
Facilitymedian $589 · 10th to 90th $347 to $2,570Professionalmedian $933 · 10th to 90th $562 to $1,514
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 $346.74 Median $588.84 Typical High $588.84 | Facility | None | $346.74 | $588.84 | $588.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $446.68 | Facility | 54 · Surgery only | $257.04 | $275.42 | $446.68 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $36.31 Typical High $58.88 | Facility | 56 · Pre-op care only | $34.67 | $36.31 | $58.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $257.04 Typical High $416.87 | Facility | 78 · Unplanned return to OR | $239.88 | $257.04 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $588.84 | Professional | None | $346.74 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $323.59 Typical High $446.68 | Professional | 54 · Surgery only | $257.04 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $43.65 Typical High $58.88 | Professional | 56 · Pre-op care only | $34.67 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $302.00 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $239.88 | $302.00 | $416.87 |
BCBS North Dakota Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,513.56 | Professional | None | $707.95 | $977.24 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $676.08 Typical High $1,071.52 | Professional | 54 · Surgery only | $501.19 | $676.08 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $97.72 Typical High $151.36 | Professional | 56 · Pre-op care only | $70.79 | $97.72 | $151.36 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $724.44 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $537.03 | $724.44 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Facility | None | $1,023.29 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $1,621.81 | Professional | None | $524.81 | $912.01 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $851.14 Typical High $2,511.89 | Facility | None | $346.74 | $851.14 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,630.27 | Professional | None | $602.56 | $1,096.48 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,630.27 | Facility | None | $1,513.56 | $2,344.23 | $2,630.27 |
United Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $1,148.15 | Professional | None | $354.81 | $660.69 | $1,148.15 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $169.82 Median $181.97 Typical High $295.12 | Facility | 52 · Reduced service | $169.82 | $181.97 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $117.49 | Facility | 53 · Discontinued | $69.18 | $72.44 | $117.49 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $89.13 | Facility | 55 · Aftercare only | $51.29 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $218.78 Typical High $295.12 | Professional | 52 · Reduced service | $169.82 | $218.78 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | 53 · Discontinued | $69.18 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $89.13 | Professional | 55 · Aftercare only | $51.29 | $64.57 | $89.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $851.14 Median $1,174.90 Typical High $1,819.70 | Professional | 22 · Increased work | $851.14 | $1,174.90 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,445.44 Typical High $2,290.87 | Professional | 50 · Both sides | $1,071.52 | $1,445.44 | $2,290.87 |
Where North Dakota sits
The same service costs 4.7 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
$891
AK $1,660TX $355
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.