How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $77.62 Median $117.49 Typical High $1,737.80 | Facility | None | $77.62 | $117.49 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $102.33 Typical High $144.54 | Professional | None | $72.44 | $102.33 | $144.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | None | $144.54 | $204.17 | $288.40 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $173.78 Median $245.47 Typical High $346.74 | Professional | 22 · Increased work | $173.78 | $245.47 | $346.74 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $144.54 Typical High $204.17 | Professional | 54 · Surgery only | $102.33 | $144.54 | $204.17 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $109.65 | $154.88 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $223.87 | Facility | None | $194.98 | $194.98 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $354.81 | Professional | None | $109.65 | $199.53 | $354.81 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $204.17 Typical High $758.58 | Facility | None | $77.62 | $204.17 | $758.58 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $257.04 | Professional | None | $125.89 | $223.87 | $257.04 |
United Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $245.47 | Professional | None | $83.18 | $147.91 | $245.47 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $58.88 | Facility | 52 · Reduced service | $38.90 | $38.90 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $23.99 | Facility | 53 · Discontinued | $15.49 | $15.49 | $23.99 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$178
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.