How much rates vary
Facilitymedian $1,778 · 10th to 90th $759 to $2,884Professionalmedian $3,388 · 10th to 90th $1,778 to $4,467
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,318.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,202.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $177.83 Typical High $194.98 | Professional | 56 · Pre-op care only | $162.18 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,230.27 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,230.27 | $1,380.38 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $4,466.84 | Professional | None | $2,951.21 | $3,801.89 | $4,466.84 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,548.13 Median $4,570.88 Typical High $5,370.32 | Professional | 22 · Increased work | $3,548.13 | $4,570.88 | $5,370.32 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,691.53 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,089.30 | $2,691.53 | $3,162.28 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $380.19 Typical High $446.68 | Professional | 56 · Pre-op care only | $295.12 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,884.03 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,884.03 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,311.31 | Facility | None | $2,884.03 | $2,884.03 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $3,235.94 Typical High $4,570.88 | Professional | None | $1,905.46 | $3,235.94 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,778.28 Typical High $3,019.95 | Facility | None | $758.58 | $1,778.28 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,951.21 Typical High $13,182.57 | Professional | None | $1,412.54 | $2,951.21 | $13,182.57 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $3,467.37 | Professional | None | $1,445.44 | $2,454.71 | $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 Professional Modifier 52 · Reduced service Typical Low $812.83 Median $891.25 Typical High $977.24 | Professional | 52 · Reduced service | $812.83 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $354.81 Typical High $389.05 | Professional | 53 · Discontinued | $323.59 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $263.03 Typical High $295.12 | Professional | 55 · Aftercare only | $245.47 | $263.03 | $295.12 |
Where North Dakota sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 8th of 51
$3,388
AK $6,310TX $1,175
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.