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 $977.24 Median $977.24 Typical High $5,011.87 | Facility | None | $977.24 | $977.24 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None | $977.24 | $977.24 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,905.46 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,318.26 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,023.29 | $1,318.26 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | 56 · Pre-op care only | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,412.54 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,412.54 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $2,137.96 Typical High $2,630.27 | Professional | None | $977.24 | $2,137.96 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $1,698.24 | Facility | None | $125.89 | $269.15 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,778.28 | $2,290.87 |
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 $912.01 Median $1,778.28 Typical High $1,905.46 | Professional | None | $912.01 | $1,778.28 | $1,905.46 |
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 $1,778.28 Median $2,290.87 Typical High $2,691.53 | Professional | 22 · Increased work | $1,778.28 | $2,290.87 | $2,691.53 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,818.38 Typical High $3,388.44 | Professional | 50 · Both sides | $2,238.72 | $2,818.38 | $3,388.44 |
Where North Dakota sits
The same service costs 7.2 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
$1,698
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.