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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,380.38 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,290.87 | $2,884.03 | $3,548.13 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,995.26 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,621.81 | $1,995.26 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $288.40 Typical High $354.81 | Professional | 56 · Pre-op care only | $229.09 | $288.40 | $354.81 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,137.96 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,137.96 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,511.89 | Facility | None | $2,187.76 | $2,187.76 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,818.38 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,398.83 | Facility | None | $758.58 | $1,380.38 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,951.21 Typical High $3,235.94 | Professional | None | $1,513.56 | $2,951.21 | $3,235.94 |
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 $1,513.56 Median $2,691.53 Typical High $3,235.94 | Professional | None | $1,513.56 | $2,691.53 | $3,235.94 |
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 $2,754.23 Median $3,467.37 Typical High $4,265.80 | Professional | 22 · Increased work | $2,754.23 | $3,467.37 | $4,265.80 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $4,265.80 Typical High $5,248.07 | Professional | 50 · Both sides | $3,467.37 | $4,265.80 | $5,248.07 |
Where North Dakota sits
The same service costs 5.2 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
$2,630
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.