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 $100.00 Median $1,949.84 Typical High $1,949.84 | Facility | None | $100.00 | $1,949.84 | $1,949.84 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $74.13 Median $81.28 Typical High $1,479.11 | Facility | 54 · Surgery only | $74.13 | $81.28 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $1,949.84 | Professional | None | $100.00 | $109.65 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $3,311.31 | Professional | None | $154.88 | $251.19 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $295.12 Typical High $3,981.07 | Professional | 22 · Increased work | $186.21 | $295.12 | $3,981.07 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $173.78 Typical High $2,344.23 | Professional | 54 · Surgery only | $109.65 | $173.78 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $186.21 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $117.49 | $186.21 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,691.53 | Facility | None | $2,344.23 | $2,344.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $3,388.44 | Professional | None | $158.49 | $323.59 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $4,466.84 | Facility | None | $100.00 | $1,949.84 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,445.44 | $2,570.40 | $3,630.78 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $102.33 Median $269.15 Typical High $3,467.37 | Professional | None | $102.33 | $269.15 | $3,467.37 |
3 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 52 · Reduced service Typical Low $50.12 Median $53.70 Typical High $977.24 | Facility | 52 · Reduced service | $50.12 | $53.70 | $977.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $398.11 | Facility | 53 · Discontinued | $19.95 | $21.38 | $398.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.79 Median $16.22 Typical High $295.12 | Facility | 55 · Aftercare only | $14.79 | $16.22 | $295.12 |
Where North Dakota sits
The same service costs 19.1 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· 11th of 51
$1,950
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.