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 $588.84 Median $588.84 Typical High $8,511.38 | Facility | None | $588.84 | $588.84 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $741.31 | Professional | None | $588.84 | $588.84 | $741.31 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $2,884.03 | Professional | None | $1,905.46 | $2,398.83 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,288.25 | $1,288.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,621.81 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $2,818.38 Typical High $4,466.84 | Facility | None | $588.84 | $2,818.38 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,513.56 | Professional | None | $676.08 | $1,023.29 | $1,513.56 |
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 $660.69 Median $1,096.48 Typical High $1,348.96 | Professional | None | $660.69 | $1,096.48 | $1,348.96 |
5 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 $2,290.87 Median $2,884.03 Typical High $3,467.37 | Professional | 22 · Increased work | $2,290.87 | $2,884.03 | $3,467.37 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $2,818.38 Median $3,630.78 Typical High $4,365.16 | Professional | 50 · Both sides | $2,818.38 | $3,630.78 | $4,365.16 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,318.26 | $1,698.24 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $239.88 Typical High $288.40 | Professional | 56 · Pre-op care only | $190.55 | $239.88 | $288.40 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,819.70 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,819.70 | $2,137.96 |
Where North Dakota sits
The same service costs 6.2 times more in Alaska than in New York. 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· 6th of 51
$1,950
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.