How much rates vary
Facilitymedian $1,950 · 10th to 90th $759 to $2,754Professionalmedian $3,802 · 10th to 90th $1,950 to $5,129
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,819.70 | $1,949.84 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,445.44 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,348.96 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $194.98 Typical High $213.80 | Professional | 56 · Pre-op care only | $181.97 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,348.96 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $5,128.61 | Professional | None | $3,388.44 | $4,365.16 | $5,128.61 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,981.07 Median $5,248.07 Typical High $6,165.95 | Professional | 22 · Increased work | $3,981.07 | $5,248.07 | $6,165.95 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $3,019.95 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,344.23 | $3,019.95 | $3,548.13 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | 56 · Pre-op care only | $338.84 | $436.52 | $512.86 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $3,235.94 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $2,511.89 | $3,235.94 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,715.35 | Facility | None | $3,235.94 | $3,235.94 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,041.74 | $3,630.78 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,949.84 Typical High $3,311.31 | Facility | None | $758.58 | $1,949.84 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $3,090.30 Typical High $14,454.40 | Professional | None | $1,584.89 | $3,090.30 | $14,454.40 |
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 $1,584.89 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,584.89 | $2,570.40 | $3,715.35 |
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 $912.01 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $912.01 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $363.08 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $288.40 Typical High $323.59 | Professional | 55 · Aftercare only | $269.15 | $288.40 | $323.59 |
Where North Dakota sits
The same service costs 5.0 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· 9th of 51
$3,631
AK $6,607TX $1,318
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.