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 $323.59 Typical High $323.59 | Facility | None | $131.83 | $323.59 | $323.59 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $100.00 Median $104.71 Typical High $245.47 | Facility | 54 · Surgery only | $100.00 | $104.71 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $457.09 | Professional | None | $131.83 | $181.97 | $457.09 |
BCBS North Dakota Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $758.58 | Professional | None | $239.88 | $354.81 | $758.58 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $288.40 Median $426.58 Typical High $912.01 | Professional | 22 · Increased work | $288.40 | $426.58 | $912.01 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $537.03 Typical High $1,122.02 | Professional | 50 · Both sides | $354.81 | $537.03 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $251.19 Typical High $524.81 | Professional | 54 · Surgery only | $165.96 | $251.19 | $524.81 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $269.15 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $177.83 | $269.15 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $588.84 | Facility | None | $512.86 | $512.86 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $912.01 | Professional | None | $181.97 | $331.13 | $912.01 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $251.19 Typical High $602.56 | Facility | None | $131.83 | $251.19 | $602.56 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $707.95 | Professional | None | $331.13 | $575.44 | $707.95 |
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 $144.54 Median $331.13 Typical High $616.60 | Professional | None | $144.54 | $331.13 | $616.60 |
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 $19.95 Median $21.38 Typical High $48.98 | Facility | 55 · Aftercare only | $19.95 | $21.38 | $48.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.13 Typical High $32.36 | Facility | 56 · Pre-op care only | $13.18 | $14.13 | $32.36 |
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· 41st of 51
$324
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.