How much rates vary
Facilitymedian $2,570 · 10th to 90th $759 to $6,918Professionalmedian $7,943 · 10th to 90th $4,169 to $10,715
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 $5,128.61 | Professional | None | $3,801.89 | $4,168.69 | $5,128.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,090.30 Typical High $3,801.89 | Professional | 54 · Surgery only | $2,884.03 | $3,090.30 | $3,801.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $416.87 Typical High $512.86 | Professional | 56 · Pre-op care only | $380.19 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,884.03 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,884.03 | $3,548.13 |
BCBS North Dakota Setting Professional Modifier None Typical Low $7,079.46 Median $9,120.11 Typical High $10,715.19 | Professional | None | $7,079.46 | $9,120.11 | $10,715.19 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $4,897.79 Median $6,309.57 Typical High $7,413.10 | Professional | 54 · Surgery only | $4,897.79 | $6,309.57 | $7,413.10 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $5,248.07 Median $6,760.83 Typical High $7,943.28 | Professional | 78 · Unplanned return to OR | $5,248.07 | $6,760.83 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $7,943.28 | Facility | None | $6,918.31 | $6,918.31 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $7,585.78 Typical High $10,715.19 | Professional | None | $4,365.16 | $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 $3,388.44 Median $7,079.46 Typical High $30,902.95 | Professional | None | $3,388.44 | $7,079.46 | $30,902.95 |
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 $5,754.40 Typical High $8,317.64 | Professional | None | $3,388.44 | $5,754.40 | $8,317.64 |
4 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 $1,905.46 Median $2,089.30 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,905.46 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $831.76 Typical High $1,023.29 | Professional | 53 · Discontinued | $758.58 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $630.96 Typical High $758.58 | Professional | 55 · Aftercare only | $575.44 | $630.96 | $758.58 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Professional | 22 · Increased work | $8,317.64 | $10,964.78 | $12,882.50 |
Where North Dakota sits
The same service costs 20.9 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· 7th of 51
$7,943
AK $14,125TX $676
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.