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 $1,348.96 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,348.96 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,570.40 | $3,019.95 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,778.28 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,380.38 | $1,778.28 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | 56 · Pre-op care only | $199.53 | $257.04 | $302.00 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,905.46 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,905.46 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,630.27 | Facility | None | $2,290.87 | $2,290.87 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,884.03 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,884.03 Typical High $7,244.36 | Facility | None | $1,348.96 | $2,884.03 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $2,884.03 | Professional | None | $1,348.96 | $2,398.83 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,818.38 | $4,265.80 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,398.83 Typical High $2,691.53 | Professional | None | $1,230.27 | $2,398.83 | $2,691.53 |
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 $2,344.23 Median $3,090.30 Typical High $3,630.78 | Professional | 22 · Increased work | $2,344.23 | $3,090.30 | $3,630.78 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,801.89 Typical High $4,466.84 | Professional | 50 · Both sides | $2,951.21 | $3,801.89 | $4,466.84 |
Where North Dakota sits
The same service costs 8.3 times more in Wyoming 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· 13th of 51
$2,455
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.