How much rates vary
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,479.11 | Professional | None | $1,380.38 | $1,412.54 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,995.26 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,548.82 | $1,995.26 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | 56 · Pre-op care only | $218.78 | $281.84 | $331.13 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,137.96 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,137.96 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,691.53 | Facility | None | $2,344.23 | $2,344.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $4,570.88 | Professional | None | $1,995.26 | $2,818.38 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,235.94 | Facility | None | $1,412.54 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,445.44 | $2,570.40 | $3,019.95 |
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 $1,412.54 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,412.54 | $2,570.40 | $3,019.95 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $2,630.27 Median $3,388.44 Typical High $3,981.07 | Professional | 22 · Increased work | $2,630.27 | $3,388.44 | $3,981.07 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,265.80 Typical High $5,011.87 | Professional | 50 · Both sides | $3,311.31 | $4,265.80 | $5,011.87 |
Where North Dakota sits
The same service costs 5.8 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· 12th of 51
$2,570
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.