How much rates vary
Facilitymedian $417 · 10th to 90th $339 to $1,230Professionalmedian $724 · 10th to 90th $427 to $1,047
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $338.84 Median $416.87 Typical High $416.87 | Facility | None | $338.84 | $416.87 | $416.87 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $309.03 | Facility | 54 · Surgery only | $257.04 | $257.04 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $416.87 | Professional | None | $338.84 | $354.81 | $416.87 |
BCBS North Dakota Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,047.13 | Professional | None | $602.56 | $776.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $724.44 Median $933.25 Typical High $1,258.93 | Professional | 22 · Increased work | $724.44 | $933.25 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,148.15 Typical High $1,584.89 | Professional | 50 · Both sides | $891.25 | $1,148.15 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $537.03 Typical High $724.44 | Professional | 54 · Surgery only | $416.87 | $537.03 | $724.44 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $575.44 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $446.68 | $575.44 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $812.83 | Facility | None | $707.95 | $707.95 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $1,258.93 | Professional | None | $489.78 | $794.33 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $1,230.27 | Facility | None | $338.84 | $676.08 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $891.25 | Professional | None | $426.58 | $758.58 | $891.25 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,698.24 | Facility | None | $758.58 | $1,023.29 | $1,698.24 |
United Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $831.76 | Professional | None | $354.81 | $630.96 | $831.76 |
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 Facility Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $208.93 | Facility | 52 · Reduced service | $169.82 | $169.82 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $83.18 | Facility | 53 · Discontinued | $67.61 | $67.61 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | 55 · Aftercare only | $51.29 | $51.29 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $41.69 | Facility | 56 · Pre-op care only | $33.88 | $33.88 | $41.69 |
Where North Dakota sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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.
Physician feeFacility fee
WY $10,585DE $1,135
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.