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 $1,862.09 Median $1,862.09 Typical High $1,949.84 | Facility | None | $1,862.09 | $1,862.09 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,862.09 | $1,862.09 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $4,786.30 | Professional | None | $3,090.30 | $3,890.45 | $4,786.30 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,691.53 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,187.76 | $2,691.53 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $389.05 Typical High $478.63 | Professional | 56 · Pre-op care only | $309.03 | $389.05 | $478.63 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,884.03 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,884.03 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,388.44 | Facility | None | $2,951.21 | $2,951.21 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,801.89 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,862.09 Typical High $3,162.28 | Facility | None | $758.58 | $1,862.09 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,715.35 Typical High $4,073.80 | Professional | None | $2,041.74 | $3,715.35 | $4,073.80 |
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 $2,041.74 Median $3,630.78 Typical High $4,265.80 | Professional | None | $2,041.74 | $3,630.78 | $4,265.80 |
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 $3,715.35 Median $4,677.35 Typical High $5,754.40 | Professional | 22 · Increased work | $3,715.35 | $4,677.35 | $5,754.40 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $4,677.35 Median $5,754.40 Typical High $7,244.36 | Professional | 50 · Both sides | $4,677.35 | $5,754.40 | $7,244.36 |
Where North Dakota sits
The same service costs 5.1 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
$3,548
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.