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 $602.56 Median $602.56 Typical High $1,995.26 | Facility | None | $602.56 | $602.56 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | None | $588.84 | $602.56 | $602.56 |
BCBS North Dakota Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $549.54 | Professional | None | $363.08 | $467.74 | $549.54 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | 54 · Surgery only | $257.04 | $331.13 | $389.05 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $36.31 | $46.77 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $537.03 | Facility | None | $467.74 | $467.74 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $851.14 | Professional | None | $416.87 | $588.84 | $851.14 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $3,235.94 | Facility | None | $602.56 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $660.69 | Professional | None | $295.12 | $331.13 | $660.69 |
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 $269.15 Median $331.13 Typical High $562.34 | Professional | None | $269.15 | $331.13 | $562.34 |
3 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 $436.52 Median $562.34 Typical High $660.69 | Professional | 22 · Increased work | $436.52 | $562.34 | $660.69 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | 50 · Both sides | $549.54 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $275.42 | $354.81 | $416.87 |
Where North Dakota sits
The same service costs 10.0 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· 45th of 51
$479
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.