How much rates vary
Facilitymedian $2,399 · 10th to 90th $759 to $3,388Professionalmedian $4,571 · 10th to 90th $2,399 to $6,166
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,715.35 | Professional | None | $2,187.76 | $2,398.83 | $3,715.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $2,187.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $295.12 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $6,165.95 | Professional | None | $3,981.07 | $5,248.07 | $6,165.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $4,786.30 Median $6,165.95 Typical High $7,413.10 | Professional | 22 · Increased work | $4,786.30 | $6,165.95 | $7,413.10 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,630.78 Typical High $4,265.80 | Professional | 54 · Surgery only | $2,818.38 | $3,630.78 | $4,265.80 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $524.81 Typical High $616.60 | Professional | 56 · Pre-op care only | $398.11 | $524.81 | $616.60 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,890.45 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,890.45 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,570.88 | Facility | None | $3,981.07 | $3,981.07 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $6,165.95 | Professional | None | $2,570.40 | $4,365.16 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $4,073.80 | Facility | None | $758.58 | $2,344.23 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $17,782.79 | Professional | None | $1,949.84 | $4,073.80 | $17,782.79 |
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 $1,949.84 Median $3,311.31 Typical High $4,786.30 | Professional | None | $1,949.84 | $3,311.31 | $4,786.30 |
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 $1,096.48 Median $1,202.26 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $588.84 | Professional | 53 · Discontinued | $436.52 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $436.52 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $436.52 |
Where North Dakota sits
The same service costs 21.4 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
$4,571
AK $8,318TX $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.