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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,148.15 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,344.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,621.81 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,258.93 | $1,621.81 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,737.80 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,737.80 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,238.72 | Facility | None | $1,949.84 | $1,949.84 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,344.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $2,398.83 | Facility | None | $758.58 | $1,148.15 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,202.26 | $2,137.96 | $2,511.89 |
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 $1,174.90 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,174.90 | $2,137.96 | $2,511.89 |
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 $2,187.76 Median $2,818.38 Typical High $3,311.31 | Professional | 22 · Increased work | $2,187.76 | $2,818.38 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,548.13 Typical High $4,168.69 | Professional | 50 · Both sides | $2,691.53 | $3,548.13 | $4,168.69 |
Where North Dakota sits
The same service costs 5.9 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· 10th of 51
$2,138
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.