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 $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,230.27 | Professional | None | $954.99 | $954.99 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,698.24 | $2,137.96 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,479.11 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,202.26 | $1,479.11 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | 56 · Pre-op care only | $169.82 | $213.80 | $257.04 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,584.89 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,584.89 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,584.89 | $1,584.89 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,995.26 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $2,398.83 | Facility | None | $758.58 | $954.99 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,089.30 | Professional | None | $977.24 | $1,621.81 | $2,089.30 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,137.96 | Professional | None | $977.24 | $1,621.81 | $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 $2,511.89 Typical High $3,019.95 | Professional | 22 · Increased work | $2,041.74 | $2,511.89 | $3,019.95 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,570.40 Median $3,162.28 Typical High $3,801.89 | Professional | 50 · Both sides | $2,570.40 | $3,162.28 | $3,801.89 |
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· 9th of 51
$1,820
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.