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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | None | $602.56 | $616.60 | $616.60 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,380.38 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $977.24 Typical High $1,148.15 | Professional | 54 · Surgery only | $758.58 | $977.24 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $138.04 Typical High $165.96 | Professional | 56 · Pre-op care only | $109.65 | $138.04 | $165.96 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,047.13 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,905.46 | Professional | None | $660.69 | $1,258.93 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,995.26 Typical High $3,235.94 | Facility | None | $616.60 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,584.89 | Professional | None | $660.69 | $1,071.52 | $1,584.89 |
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 $602.56 Median $1,071.52 Typical High $1,258.93 | Professional | None | $602.56 | $1,071.52 | $1,258.93 |
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 $1,318.26 Median $1,659.59 Typical High $1,995.26 | Professional | 22 · Increased work | $1,318.26 | $1,659.59 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,089.30 Typical High $2,454.71 | Professional | 50 · Both sides | $1,621.81 | $2,089.30 | $2,454.71 |
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· 8th of 51
$1,230
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.