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 $707.95 Median $707.95 Typical High $5,011.87 | Facility | None | $707.95 | $707.95 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $707.95 | Professional | None | $645.65 | $707.95 | $707.95 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,445.44 | $1,698.24 |
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 $112.20 Median $144.54 Typical High $169.82 | Professional | 56 · Pre-op care only | $112.20 | $144.54 | $169.82 |
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 $1,202.26 Median $1,202.26 Typical High $1,380.38 | Facility | None | $1,202.26 | $1,202.26 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,445.44 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $3,235.94 | Facility | None | $707.95 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,513.56 | Professional | None | $741.31 | $1,288.25 | $1,513.56 |
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 $724.44 Median $1,288.25 Typical High $1,548.82 | Professional | None | $724.44 | $1,288.25 | $1,548.82 |
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 $1,348.96 Median $1,737.80 Typical High $2,041.74 | Professional | 22 · Increased work | $1,348.96 | $1,737.80 | $2,041.74 |
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 6.9 times more in Alaska than in Texas. 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.