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 $489.78 Median $489.78 Typical High $6,456.54 | Facility | None | $489.78 | $489.78 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $549.54 | Professional | None | $457.09 | $489.78 | $549.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | None | $794.33 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $724.44 Typical High $851.14 | Professional | 54 · Surgery only | $562.34 | $724.44 | $851.14 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | 56 · Pre-op care only | $79.43 | $102.33 | $120.23 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $602.56 | $776.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $954.99 | Facility | None | $831.76 | $831.76 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,621.81 | Professional | None | $724.44 | $1,023.29 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,995.26 Typical High $3,235.94 | Facility | None | $489.78 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,071.52 | Professional | None | $512.86 | $912.01 | $1,071.52 |
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 $489.78 Median $912.01 Typical High $1,071.52 | Professional | None | $489.78 | $912.01 | $1,071.52 |
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 $954.99 Median $1,230.27 Typical High $1,445.44 | Professional | 22 · Increased work | $954.99 | $1,230.27 | $1,445.44 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | 50 · Both sides | $1,202.26 | $1,548.82 | $1,819.70 |
Where North Dakota sits
The same service costs 10.0 times more in Oklahoma 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· 16th of 51
$933
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.