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 $478.63 Median $478.63 Typical High $2,511.89 | Facility | None | $478.63 | $478.63 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | None | $467.74 | $478.63 | $478.63 |
BCBS North Dakota Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,148.15 | Professional | None | $758.58 | $977.24 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $691.83 Typical High $812.83 | Professional | 54 · Surgery only | $524.81 | $691.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $97.72 Typical High $114.82 | Professional | 56 · Pre-op care only | $75.86 | $97.72 | $114.82 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $562.34 | $741.31 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $912.01 | Facility | None | $794.33 | $794.33 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $977.24 Typical High $1,445.44 | Professional | None | $457.09 | $977.24 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $1,513.56 Typical High $2,754.23 | Facility | None | $478.63 | $1,513.56 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,230.27 | Professional | None | $489.78 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $2,630.27 | Facility | None | $1,513.56 | $2,344.23 | $2,630.27 |
United Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $933.25 | Professional | None | $446.68 | $851.14 | $933.25 |
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 $912.01 Median $1,174.90 Typical High $1,380.38 | Professional | 22 · Increased work | $912.01 | $1,174.90 | $1,380.38 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,479.11 Typical High $1,737.80 | Professional | 50 · Both sides | $1,148.15 | $1,479.11 | $1,737.80 |
Where North Dakota sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$891
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.