How much rates vary
Facilitymedian $1,698 · 10th to 90th $759 to $2,570Professionalmedian $3,236 · 10th to 90th $1,698 to $4,365
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,548.82 | $1,698.24 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,288.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,174.90 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $169.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $154.88 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,202.26 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,202.26 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $4,365.16 | Professional | None | $2,818.38 | $3,715.35 | $4,365.16 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,388.44 Median $4,466.84 Typical High $5,248.07 | Professional | 22 · Increased work | $3,388.44 | $4,466.84 | $5,248.07 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,570.40 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,995.26 | $2,570.40 | $3,019.95 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $371.54 Typical High $436.52 | Professional | 56 · Pre-op care only | $281.84 | $371.54 | $436.52 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,754.23 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,754.23 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,235.94 | Facility | None | $2,818.38 | $2,818.38 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $4,365.16 | Professional | None | $1,819.70 | $3,090.30 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,698.24 Typical High $2,884.03 | Facility | None | $758.58 | $1,698.24 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $12,589.25 | Professional | None | $1,445.44 | $2,884.03 | $12,589.25 |
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 $1,445.44 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,445.44 | $2,344.23 | $3,388.44 |
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 $776.25 Median $851.14 Typical High $1,000.00 | Professional | 52 · Reduced service | $776.25 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | 53 · Discontinued | $309.03 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $257.04 Typical High $302.00 | Professional | 55 · Aftercare only | $234.42 | $257.04 | $302.00 |
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
$3,236
AK $6,026TX $1,122
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.