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 $1,148.15 Median $1,148.15 Typical High $6,456.54 | Facility | None | $1,148.15 | $1,148.15 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,398.83 | $2,818.38 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,698.24 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,288.25 | $1,698.24 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $186.21 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,819.70 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,819.70 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,995.26 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,454.71 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,884.03 Typical High $4,570.88 | Facility | None | $1,148.15 | $2,884.03 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,174.90 | $2,089.30 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,071.52 | $2,089.30 | $2,454.71 |
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 $2,238.72 Median $2,884.03 Typical High $3,388.44 | Professional | 22 · Increased work | $2,238.72 | $2,884.03 | $3,388.44 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,630.78 Typical High $4,265.80 | Professional | 50 · Both sides | $2,818.38 | $3,630.78 | $4,265.80 |
Where North Dakota sits
The same service costs 6.9 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· 12th of 51
$2,188
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.