How much rates vary
Facilitymedian $1,549 · 10th to 90th $380 to $4,266Professionalmedian $1,549 · 10th to 90th $631 to $3,467
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 $380.19 Median $1,380.38 Typical High $1,548.82 | Facility | None | $380.19 | $1,380.38 | $1,548.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $281.84 Median $288.40 Typical High $1,148.15 | Facility | 54 · Surgery only | $281.84 | $288.40 | $1,148.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $154.88 | Facility | 56 · Pre-op care only | $38.02 | $38.02 | $154.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $269.15 Typical High $1,071.52 | Facility | 78 · Unplanned return to OR | $263.03 | $269.15 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $1,548.82 | Professional | None | $380.19 | $398.11 | $1,548.82 |
BCBS North Dakota Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $3,388.44 | Professional | None | $707.95 | $1,047.13 | $3,388.44 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $851.14 Median $1,258.93 Typical High $4,073.80 | Professional | 22 · Increased work | $851.14 | $1,258.93 | $4,073.80 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $741.31 Typical High $2,398.83 | Professional | 54 · Surgery only | $489.78 | $741.31 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $104.71 Typical High $338.84 | Professional | 56 · Pre-op care only | $70.79 | $104.71 | $338.84 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $794.33 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $524.81 | $794.33 | $2,570.40 |
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 $630.96 Median $2,041.74 Typical High $3,715.35 | Professional | None | $630.96 | $2,041.74 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $1,548.82 Typical High $4,265.80 | Facility | None | $380.19 | $1,548.82 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $3,467.37 Typical High $3,890.45 | Professional | None | $1,548.82 | $3,467.37 | $3,890.45 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $389.05 Median $1,258.93 Typical High $3,890.45 | Professional | None | $389.05 | $1,258.93 | $3,890.45 |
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 Facility Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $776.25 | Facility | 52 · Reduced service | $190.55 | $190.55 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $309.03 | Facility | 53 · Discontinued | $75.86 | $75.86 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $229.09 | Facility | 55 · Aftercare only | $56.23 | $57.54 | $229.09 |
Where North Dakota sits
The same service costs 4.9 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· 23rd of 51
$1,549
AK $3,020TX $617
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.