How much rates vary
Facilitymedian $2,455 · 10th to 90th $447 to $4,467Professionalmedian $2,455 · 10th to 90th $676 to $5,012
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 $446.68 Median $2,238.72 Typical High $2,454.71 | Facility | None | $446.68 | $2,238.72 | $2,454.71 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $354.81 Typical High $1,819.70 | Facility | 54 · Surgery only | $331.13 | $354.81 | $1,819.70 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $239.88 | Facility | 56 · Pre-op care only | $44.67 | $47.86 | $239.88 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $1,698.24 | Facility | 78 · Unplanned return to OR | $309.03 | $331.13 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $2,454.71 | Professional | None | $446.68 | $489.78 | $2,454.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $1,819.70 | Professional | 54 · Surgery only | $331.13 | $363.08 | $1,819.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $48.98 Typical High $239.88 | Professional | 56 · Pre-op care only | $44.67 | $48.98 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $5,128.61 | Professional | None | $776.25 | $1,148.15 | $5,128.61 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $933.25 Median $1,380.38 Typical High $6,165.95 | Professional | 22 · Increased work | $933.25 | $1,380.38 | $6,165.95 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,737.80 Typical High $7,585.78 | Professional | 50 · Both sides | $1,148.15 | $1,737.80 | $7,585.78 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $812.83 Typical High $3,548.13 | Professional | 54 · Surgery only | $537.03 | $812.83 | $3,548.13 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $114.82 Typical High $512.86 | Professional | 56 · Pre-op care only | $77.62 | $114.82 | $512.86 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $870.96 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $575.44 | $870.96 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,168.69 | Facility | None | $3,630.78 | $3,630.78 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,445.44 Typical High $5,754.40 | Professional | None | $741.31 | $1,445.44 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $2,454.71 Typical High $4,466.84 | Facility | None | $446.68 | $2,454.71 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,454.71 | $3,981.07 | $6,456.54 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None Typical Low $446.68 Median $2,187.76 Typical High $4,265.80 | Professional | None | $446.68 | $2,187.76 | $4,265.80 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $223.87 Median $239.88 Typical High $1,202.26 | Facility | 52 · Reduced service | $223.87 | $239.88 | $1,202.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $489.78 | Facility | 53 · Discontinued | $89.13 | $95.50 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $363.08 | Facility | 55 · Aftercare only | $66.07 | $70.79 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $245.47 Typical High $1,202.26 | Professional | 52 · Reduced service | $223.87 | $245.47 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $489.78 | Professional | 53 · Discontinued | $89.13 | $97.72 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $363.08 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $363.08 |
Where North Dakota sits
The same service costs 9.8 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· 11th of 51
$2,455
AK $4,898KY $501
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.