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 $61.66 Median $97.72 Typical High $97.72 | Facility | None | $61.66 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $45.71 Median $45.71 Typical High $72.44 | Facility | 54 · Surgery only | $45.71 | $45.71 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $128.82 | Professional | None | $57.54 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $60.26 Typical High $72.44 | Professional | 54 · Surgery only | $43.65 | $60.26 | $72.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $251.19 | Professional | None | $102.33 | $154.88 | $251.19 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $123.03 Median $186.21 Typical High $295.12 | Professional | 22 · Increased work | $123.03 | $186.21 | $295.12 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $109.65 Typical High $173.78 | Professional | 54 · Surgery only | $70.79 | $109.65 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $151.36 Typical High $269.15 | Professional | None | $87.10 | $151.36 | $269.15 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $125.89 Typical High $269.15 | Facility | None | $61.66 | $125.89 | $269.15 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $575.44 | Professional | None | $100.00 | $181.97 | $575.44 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $186.21 | Professional | None | $63.10 | $120.23 | $186.21 |
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 50 · Both sides Typical Low $154.88 Median $309.03 Typical High $371.54 | Professional | 50 · Both sides | $154.88 | $309.03 | $371.54 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $89.13 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $69.18 | $89.13 | $162.18 |
Where North Dakota sits
The same service costs 3.6 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· 14th of 51
$126
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.