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 $1,000.00 | Facility | None | $954.99 | $954.99 | $1,000.00 |
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 $1,584.89 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,995.26 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,380.38 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,122.02 | $1,380.38 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $199.53 Typical High $245.47 | Professional | 56 · Pre-op care only | $158.49 | $199.53 | $245.47 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,479.11 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,513.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,949.84 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $3,235.94 Typical High $5,370.32 | Facility | None | $954.99 | $3,235.94 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,949.84 | $2,089.30 |
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 $1,047.13 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,819.70 | $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 $1,905.46 Median $2,398.83 Typical High $2,951.21 | Professional | 22 · Increased work | $1,905.46 | $2,398.83 | $2,951.21 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $2,951.21 Typical High $3,630.78 | Professional | 50 · Both sides | $2,398.83 | $2,951.21 | $3,630.78 |
Where North Dakota sits
The same service costs 5.0 times more in Wisconsin 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· 19th of 51
$1,862
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.