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 $537.03 Median $537.03 Typical High $5,011.87 | Facility | None | $537.03 | $537.03 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | None | $537.03 | $537.03 | $549.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,412.54 | Professional | None | $912.01 | $1,202.26 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $645.65 | $831.76 | $977.24 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $91.20 | $120.23 | $141.25 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $691.83 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,071.52 | Facility | None | $933.25 | $933.25 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $1,698.24 | Professional | None | $549.54 | $1,122.02 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $3,235.94 Typical High $5,495.41 | Facility | None | $537.03 | $3,235.94 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,380.38 | Professional | None | $562.34 | $1,000.00 | $1,380.38 |
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 $562.34 Median $977.24 Typical High $1,071.52 | Professional | None | $562.34 | $977.24 | $1,071.52 |
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 $1,096.48 Median $1,445.44 Typical High $1,698.24 | Professional | 22 · Increased work | $1,096.48 | $1,445.44 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,778.28 Typical High $2,089.30 | Professional | 50 · Both sides | $1,380.38 | $1,778.28 | $2,089.30 |
Where North Dakota sits
The same service costs 7.9 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· 11th of 51
$1,047
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.