How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $131.83 Median $309.03 Typical High $309.03 | Facility | None | $131.83 | $309.03 | $309.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $97.72 Median $102.33 Typical High $229.09 | Facility | 54 · Surgery only | $97.72 | $102.33 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $446.68 | Professional | None | $131.83 | $257.04 | $446.68 |
BCBS North Dakota Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $676.08 | Professional | None | $234.42 | $346.74 | $676.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $416.87 Typical High $812.83 | Professional | 22 · Increased work | $281.84 | $416.87 | $812.83 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $524.81 Typical High $1,023.29 | Professional | 50 · Both sides | $354.81 | $524.81 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $245.47 Typical High $478.63 | Professional | 54 · Surgery only | $165.96 | $245.47 | $478.63 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $263.03 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $177.83 | $263.03 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $537.03 | Facility | None | $467.74 | $467.74 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $831.76 | Professional | None | $177.83 | $398.11 | $831.76 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $537.03 | Facility | None | $131.83 | $251.19 | $537.03 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $660.69 | Professional | None | $316.23 | $549.54 | $660.69 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $588.84 | Professional | None | $141.25 | $316.23 | $588.84 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.50 Median $20.42 Typical High $45.71 | Facility | 55 · Aftercare only | $19.50 | $20.42 | $45.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.80 Typical High $30.90 | Facility | 56 · Pre-op care only | $13.18 | $13.80 | $30.90 |
Where North Dakota sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 38th of 51
$309
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.