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 $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,513.56 | $1,513.56 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $3,890.45 | Professional | None | $2,570.40 | $3,162.28 | $3,890.45 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,238.72 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,778.28 | $2,238.72 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $316.23 Typical High $389.05 | Professional | 56 · Pre-op care only | $257.04 | $316.23 | $389.05 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,398.83 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,398.83 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,818.38 | Facility | None | $2,454.71 | $2,454.71 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $4,365.16 | Professional | None | $2,089.30 | $3,090.30 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,630.27 | Facility | None | $758.58 | $1,513.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $3,311.31 | Professional | None | $1,659.59 | $2,951.21 | $3,311.31 |
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 $1,659.59 Median $2,951.21 Typical High $3,467.37 | Professional | None | $1,659.59 | $2,951.21 | $3,467.37 |
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 $3,090.30 Median $3,801.89 Typical High $4,677.35 | Professional | 22 · Increased work | $3,090.30 | $3,801.89 | $4,677.35 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $4,786.30 Typical High $5,888.44 | Professional | 50 · Both sides | $3,801.89 | $4,786.30 | $5,888.44 |
Where North Dakota sits
The same service costs 5.9 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· 11th of 51
$2,884
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.