How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,072 to $9,120Professionalmedian $1,995 · 10th to 90th $1,072 to $2,630
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 $1,047.13 Median $4,365.16 Typical High $11,481.54 | Facility | None | $1,047.13 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,584.89 | Professional | None | $977.24 | $1,071.52 | $1,584.89 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,698.24 | $2,238.72 | $2,630.27 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,202.26 | $1,548.82 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $223.87 Typical High $263.03 | Professional | 56 · Pre-op care only | $169.82 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,659.59 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,659.59 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Facility | None | $1,819.70 | $1,819.70 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,202.26 | $2,187.76 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,071.52 | $3,548.13 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,995.26 | $3,090.30 |
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 $1,122.02 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,949.84 | $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 $2,041.74 Median $2,691.53 Typical High $3,162.28 | Professional | 22 · Increased work | $2,041.74 | $2,691.53 | $3,162.28 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,311.31 Typical High $3,890.45 | Professional | 50 · Both sides | $2,570.40 | $3,311.31 | $3,890.45 |
Where North Dakota sits
The same service costs 4.2 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $14,362MT $3,396
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.