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 $426.58 Median $426.58 Typical High $1,995.26 | Facility | None | $426.58 | $426.58 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $467.74 | Professional | None | $398.11 | $426.58 | $467.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | 54 · Surgery only | $478.63 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $660.69 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $512.86 | $660.69 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $831.76 | Facility | None | $724.44 | $724.44 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,412.54 | Professional | None | $616.60 | $870.96 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $2,630.27 | Facility | None | $426.58 | $1,513.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $776.25 Typical High $912.01 | Professional | None | $436.52 | $776.25 | $912.01 |
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 $426.58 Median $776.25 Typical High $912.01 | Professional | None | $426.58 | $776.25 | $912.01 |
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 $1,071.52 Typical High $1,258.93 | Professional | 22 · Increased work | $831.76 | $1,071.52 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,318.26 Typical High $1,548.82 | Professional | 50 · Both sides | $1,023.29 | $1,318.26 | $1,548.82 |
Where North Dakota sits
The same service costs 5.1 times more in Alaska 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· 12th of 51
$813
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.