How much rates vary
Facilitymedian $1,514 · 10th to 90th $324 to $3,236Professionalmedian $1,514 · 10th to 90th $562 to $3,715
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 $323.59 Median $1,513.56 Typical High $1,513.56 | Facility | None | $323.59 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $1,122.02 | Facility | 54 · Surgery only | $245.47 | $269.15 | $1,122.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $251.19 Typical High $1,047.13 | Facility | 78 · Unplanned return to OR | $229.09 | $251.19 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $1,621.81 | Professional | None | $323.59 | $416.87 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $3,890.45 | Professional | None | $630.96 | $954.99 | $3,890.45 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $758.58 Median $1,148.15 Typical High $4,677.35 | Professional | 22 · Increased work | $758.58 | $1,148.15 | $4,677.35 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,412.54 Typical High $5,754.40 | Professional | 50 · Both sides | $954.99 | $1,412.54 | $5,754.40 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $660.69 Typical High $2,691.53 | Professional | 54 · Surgery only | $446.68 | $660.69 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $707.95 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $478.63 | $707.95 | $2,884.03 |
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 $549.54 Median $2,089.30 Typical High $4,365.16 | Professional | None | $549.54 | $2,089.30 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,995.26 Typical High $3,235.94 | Facility | None | $323.59 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,380.38 | $2,344.23 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $346.74 Median $1,288.25 Typical High $2,691.53 | Professional | None | $346.74 | $1,288.25 | $2,691.53 |
4 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 $162.18 Median $177.83 Typical High $758.58 | Facility | 52 · Reduced service | $162.18 | $177.83 | $758.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $302.00 | Facility | 53 · Discontinued | $64.57 | $70.79 | $302.00 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $223.87 | Facility | 55 · Aftercare only | $48.98 | $53.70 | $223.87 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $151.36 | Facility | 56 · Pre-op care only | $32.36 | $35.48 | $151.36 |
Where North Dakota sits
The same service costs 5.8 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· 24th of 51
$1,514
AK $3,548NE $617
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.