How much rates vary
Facilitymedian $2,570 · 10th to 90th $759 to $5,754Professionalmedian $7,762 · 10th to 90th $4,169 to $10,471
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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,570.88 | Professional | None | $3,801.89 | $4,168.69 | $4,570.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,090.30 Typical High $3,388.44 | Professional | 54 · Surgery only | $2,818.38 | $3,090.30 | $3,388.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | 56 · Pre-op care only | $380.19 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $2,884.03 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $2,630.27 | $2,884.03 | $3,162.28 |
BCBS North Dakota Setting Professional Modifier None Typical Low $6,918.31 Median $8,912.51 Typical High $10,471.29 | Professional | None | $6,918.31 | $8,912.51 | $10,471.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $8,317.64 Median $10,715.19 Typical High $12,589.25 | Professional | 22 · Increased work | $8,317.64 | $10,715.19 | $12,589.25 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $4,786.30 Median $6,309.57 Typical High $7,413.10 | Professional | 54 · Surgery only | $4,786.30 | $6,309.57 | $7,413.10 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,128.61 Median $6,760.83 Typical High $7,943.28 | Professional | 78 · Unplanned return to OR | $5,128.61 | $6,760.83 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,762.47 | Facility | None | $6,760.83 | $6,760.83 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $10,715.19 | Professional | None | $4,265.80 | $7,585.78 | $10,715.19 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $7,079.46 | Facility | None | $758.58 | $2,344.23 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $3,311.31 Median $6,760.83 Typical High $31,622.78 | Professional | None | $3,311.31 | $6,760.83 | $31,622.78 |
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 $3,388.44 Median $5,495.41 Typical High $7,943.28 | Professional | None | $3,388.44 | $5,495.41 | $7,943.28 |
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 $1,862.09 Median $2,041.74 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,862.09 | $2,041.74 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $831.76 Typical High $912.01 | Professional | 53 · Discontinued | $758.58 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $616.60 Typical High $676.08 | Professional | 55 · Aftercare only | $562.34 | $616.60 | $676.08 |
Where North Dakota sits
The same service costs 21.9 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
$7,762
AK $14,125TX $646
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.