How much rates vary
Facilitymedian $2,455 · 10th to 90th $759 to $3,467Professionalmedian $4,786 · 10th to 90th $2,455 to $6,310
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,454.71 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,819.70 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,698.24 | $1,819.70 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $245.47 Typical High $288.40 | Professional | 56 · Pre-op care only | $223.87 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,698.24 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,698.24 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $6,309.57 | Professional | None | $4,168.69 | $5,370.32 | $6,309.57 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $5,011.87 Median $6,456.54 Typical High $7,585.78 | Professional | 22 · Increased work | $5,011.87 | $6,456.54 | $7,585.78 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,801.89 Typical High $4,466.84 | Professional | 54 · Surgery only | $2,951.21 | $3,801.89 | $4,466.84 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | 56 · Pre-op care only | $416.87 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $4,073.80 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $3,162.28 | $4,073.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,677.35 | Facility | None | $4,073.80 | $4,073.80 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $6,456.54 | Professional | None | $2,630.27 | $4,570.88 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $4,168.69 | Facility | None | $758.58 | $2,344.23 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $18,197.01 | Professional | None | $1,995.26 | $4,570.88 | $18,197.01 |
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 $1,995.26 Median $3,548.13 Typical High $5,370.32 | Professional | None | $1,995.26 | $3,548.13 | $5,370.32 |
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 $1,122.02 Median $1,230.27 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,122.02 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $489.78 Typical High $575.44 | Professional | 53 · Discontinued | $457.09 | $489.78 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $363.08 Typical High $426.58 | Professional | 55 · Aftercare only | $338.84 | $363.08 | $426.58 |
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
$4,786
AK $8,710TX $1,622
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.