How much rates vary
Facilitymedian $513 · 10th to 90th $347 to $1,549Professionalmedian $776 · 10th to 90th $407 to $1,318
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 $346.74 Median $512.86 Typical High $512.86 | Facility | None | $346.74 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $389.05 | Facility | 54 · Surgery only | $263.03 | $263.03 | $389.05 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $51.29 | Facility | 56 · Pre-op care only | $34.67 | $34.67 | $51.29 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $363.08 | Facility | 78 · Unplanned return to OR | $245.47 | $245.47 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $562.34 | Professional | None | $346.74 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $389.05 Typical High $426.58 | Professional | 54 · Surgery only | $263.03 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $51.29 Typical High $56.23 | Professional | 56 · Pre-op care only | $34.67 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $363.08 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $245.47 | $363.08 | $398.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,318.26 | Professional | None | $630.96 | $912.01 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $758.58 Median $1,096.48 Typical High $1,584.89 | Professional | 22 · Increased work | $758.58 | $1,096.48 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $645.65 Typical High $912.01 | Professional | 54 · Surgery only | $446.68 | $645.65 | $912.01 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $91.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $63.10 | $91.20 | $131.83 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $691.83 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $478.63 | $691.83 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,096.48 | Facility | None | $954.99 | $954.99 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $831.76 Typical High $1,380.38 | Professional | None | $398.11 | $831.76 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $1,548.82 | Facility | None | $346.74 | $676.08 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $4,073.80 | Professional | None | $446.68 | $851.14 | $4,073.80 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Facility | None | $758.58 | $1,023.29 | $1,698.24 |
United Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $954.99 | Professional | None | $331.13 | $588.84 | $954.99 |
6 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 $173.78 Median $173.78 Typical High $257.04 | Facility | 52 · Reduced service | $173.78 | $173.78 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $102.33 | Facility | 53 · Discontinued | $69.18 | $69.18 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $77.62 | Facility | 55 · Aftercare only | $52.48 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $173.78 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $69.18 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $52.48 | $77.62 | $85.11 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 9th of 51
$776
AK $1,445NJ $389
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.