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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $912.01 | Professional | None | $831.76 | $912.01 | $912.01 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,819.70 | $2,137.96 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,288.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $977.24 | $1,288.25 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 56 · Pre-op care only | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,380.38 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,380.38 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $1,513.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,819.70 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $3,235.94 | Facility | None | $912.01 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $1,949.84 | Professional | None | $954.99 | $1,698.24 | $1,949.84 |
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 $954.99 Median $1,698.24 Typical High $1,995.26 | Professional | None | $954.99 | $1,698.24 | $1,995.26 |
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 $1,698.24 Median $2,187.76 Typical High $2,570.40 | Professional | 22 · Increased work | $1,698.24 | $2,187.76 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,754.23 Typical High $3,235.94 | Professional | 50 · Both sides | $2,137.96 | $2,754.23 | $3,235.94 |
Where North Dakota sits
The same service costs 6.3 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· 11th of 51
$1,738
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.