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 $1,318.26 Median $1,318.26 Typical High $1,479.11 | Facility | None | $1,318.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,318.26 | $1,318.26 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,137.96 | $2,630.27 | $3,235.94 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,862.09 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,479.11 | $1,862.09 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $263.03 Typical High $323.59 | Professional | 56 · Pre-op care only | $213.80 | $263.03 | $323.59 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,995.26 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,995.26 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,754.23 | Facility | None | $2,398.83 | $2,398.83 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $3,715.35 | Professional | None | $1,380.38 | $3,019.95 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $3,311.31 | Facility | None | $1,318.26 | $2,041.74 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,348.96 | $2,344.23 | $3,090.30 |
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 $1,230.27 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,230.27 | $2,344.23 | $2,570.40 |
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 $2,570.40 Median $3,162.28 Typical High $3,890.45 | Professional | 22 · Increased work | $2,570.40 | $3,162.28 | $3,890.45 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $3,981.07 Typical High $4,897.79 | Professional | 50 · Both sides | $3,235.94 | $3,981.07 | $4,897.79 |
Where North Dakota sits
The same service costs 7.4 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· 7th 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.