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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,905.46 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3,467.37 Median $4,466.84 Typical High $5,248.07 | Professional | None | $3,467.37 | $4,466.84 | $5,248.07 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $3,090.30 Typical High $3,630.78 | Professional | 54 · Surgery only | $2,398.83 | $3,090.30 | $3,630.78 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $446.68 Typical High $524.81 | Professional | 56 · Pre-op care only | $346.74 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $3,311.31 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $2,570.40 | $3,311.31 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,630.78 | Facility | None | $3,162.28 | $3,162.28 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $6,165.95 | Professional | None | $2,691.53 | $3,801.89 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,905.46 Typical High $3,235.94 | Facility | None | $758.58 | $1,905.46 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,467.37 Typical High $4,073.80 | Professional | None | $2,041.74 | $3,467.37 | $4,073.80 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $3,467.37 Typical High $4,365.16 | Professional | None | $1,905.46 | $3,467.37 | $4,365.16 |
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 $4,168.69 Median $5,370.32 Typical High $6,309.57 | Professional | 22 · Increased work | $4,168.69 | $5,370.32 | $6,309.57 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $5,128.61 Median $6,606.93 Typical High $7,943.28 | Professional | 50 · Both sides | $5,128.61 | $6,606.93 | $7,943.28 |
Where North Dakota sits
The same service costs 7.6 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· 9th of 51
$3,715
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.