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 $331.13 Median $331.13 Typical High $5,011.87 | Facility | None | $331.13 | $331.13 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $398.11 | Professional | None | $316.23 | $331.13 | $398.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $812.83 | Professional | None | $537.03 | $691.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $371.54 | $478.63 | $562.34 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 56 · Pre-op care only | $53.70 | $69.18 | $81.28 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $512.86 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $398.11 | $512.86 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $660.69 | Facility | None | $575.44 | $575.44 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,122.02 | Professional | None | $489.78 | $691.83 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $1,513.56 Typical High $2,754.23 | Facility | None | $331.13 | $1,513.56 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $707.95 | Professional | None | $338.84 | $602.56 | $707.95 |
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 $338.84 Median $602.56 Typical High $707.95 | Professional | None | $338.84 | $602.56 | $707.95 |
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 $645.65 Median $831.76 Typical High $977.24 | Professional | 22 · Increased work | $645.65 | $831.76 | $977.24 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,047.13 Typical High $1,230.27 | Professional | 50 · Both sides | $794.33 | $1,047.13 | $1,230.27 |
Where North Dakota sits
The same service costs 11.7 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· 15th of 51
$631
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.