How much rates vary
Facilitymedian $1,995 · 10th to 90th $398 to $3,236Professionalmedian $759 · 10th to 90th $398 to $1,072
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 $398.11 Median $398.11 Typical High $6,456.54 | Facility | None | $398.11 | $398.11 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $1,047.13 | Professional | None | $363.08 | $398.11 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $302.00 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $281.84 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $263.03 | $281.84 | $309.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | None | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | 54 · Surgery only | $489.78 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $524.81 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $776.25 | Facility | None | $676.08 | $676.08 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $1,071.52 | Professional | None | $426.58 | $758.58 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,995.26 Typical High $3,235.94 | Facility | None | $398.11 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $660.69 Typical High $4,677.35 | Professional | None | $331.13 | $660.69 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $3,235.94 | Facility | None | $1,995.26 | $3,019.95 | $3,235.94 |
United Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $758.58 | Professional | None | $331.13 | $549.54 | $758.58 |
5 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 $186.21 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $75.86 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $66.07 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $851.14 Median $1,096.48 Typical High $1,288.25 | Professional | 22 · Increased work | $851.14 | $1,096.48 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | 50 · Both sides | $1,047.13 | $1,348.96 | $1,584.89 |
Where North Dakota sits
The same service costs 5.6 times more in Alaska than in Utah. 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
$776
AK $1,660UT $295
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.