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 $389.05 Median $389.05 Typical High $5,011.87 | Facility | None | $389.05 | $389.05 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | None | $389.05 | $389.05 | $398.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | None | $676.08 | $870.96 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | 54 · Surgery only | $478.63 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $67.61 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $660.69 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $512.86 | $660.69 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $794.33 | Facility | None | $691.83 | $691.83 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $1,230.27 | Professional | None | $457.09 | $831.76 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,513.56 Typical High $2,754.23 | Facility | None | $389.05 | $1,513.56 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $1,000.00 | Professional | None | $398.11 | $741.31 | $1,000.00 |
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 $389.05 Median $707.95 Typical High $776.25 | Professional | None | $389.05 | $707.95 | $776.25 |
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 $812.83 Median $1,047.13 Typical High $1,230.27 | Professional | 22 · Increased work | $812.83 | $1,047.13 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,318.26 Typical High $1,548.82 | Professional | 50 · Both sides | $1,023.29 | $1,318.26 | $1,548.82 |
Where North Dakota sits
The same service costs 7.2 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
$776
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.