How much rates vary
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $123.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,630.27 Median $3,388.44 Typical High $3,981.07 | Professional | 22 · Increased work | $2,630.27 | $3,388.44 | $3,981.07 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,995.26 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,548.82 | $1,995.26 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | 56 · Pre-op care only | $218.78 | $281.84 | $331.13 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,511.89 | Professional | None | $912.01 | $1,445.44 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,398.83 | Facility | None | $758.58 | $1,096.48 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $8,511.38 | Professional | None | $1,071.52 | $1,819.70 | $8,511.38 |
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 $954.99 Median $1,513.56 Typical High $2,137.96 | Professional | None | $954.99 | $1,513.56 | $2,137.96 |
1 more rate 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 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $186.21 |
Where North Dakota sits
The same service costs 5.6 times more in Alaska than in New York. 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
$2,188
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.