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 $691.83 Median $691.83 Typical High $6,456.54 | Facility | None | $691.83 | $691.83 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $776.25 | Professional | None | $630.96 | $691.83 | $776.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,412.54 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,000.00 Typical High $1,174.90 | Professional | 54 · Surgery only | $776.25 | $1,000.00 | $1,174.90 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $165.96 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,071.52 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $831.76 | $1,071.52 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,348.96 | Facility | None | $1,174.90 | $1,174.90 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,000.00 | $1,412.54 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $2,630.27 | Facility | None | $691.83 | $1,513.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,288.25 Typical High $1,479.11 | Professional | None | $707.95 | $1,288.25 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,630.27 | Facility | None | $1,513.56 | $2,344.23 | $2,630.27 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $1,479.11 | Professional | None | $691.83 | $1,258.93 | $1,479.11 |
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 $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | 22 · Increased work | $1,318.26 | $1,698.24 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,137.96 Typical High $2,511.89 | Professional | 50 · Both sides | $1,659.59 | $2,137.96 | $2,511.89 |
Where North Dakota sits
The same service costs 6.0 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· 10th of 51
$1,318
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.