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 $436.52 Median $436.52 Typical High $6,456.54 | Facility | None | $436.52 | $436.52 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $489.78 | Professional | None | $398.11 | $436.52 | $489.78 |
BCBS North Dakota Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,071.52 | Professional | None | $691.83 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | 54 · Surgery only | $489.78 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $69.18 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $524.81 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $851.14 | Facility | None | $741.31 | $741.31 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,445.44 | Professional | None | $630.96 | $891.25 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,995.26 Typical High $3,235.94 | Facility | None | $436.52 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $794.33 Typical High $933.25 | Professional | None | $446.68 | $794.33 | $933.25 |
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 $426.58 Median $794.33 Typical High $933.25 | Professional | None | $426.58 | $794.33 | $933.25 |
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 $831.76 Median $1,096.48 Typical High $1,288.25 | Professional | 22 · Increased work | $831.76 | $1,096.48 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | 50 · Both sides | $1,047.13 | $1,348.96 | $1,584.89 |
Where North Dakota sits
The same service costs 9.8 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
$832
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.