How much rates vary
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 $37.15 Median $97.72 Typical High $660.69 | Facility | None | $37.15 | $97.72 | $660.69 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $27.54 Median $28.84 Typical High $74.13 | Facility | 54 · Surgery only | $27.54 | $28.84 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $69.18 Typical High $112.20 | Professional | None | $24.55 | $69.18 | $112.20 |
BCBS North Dakota Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $338.84 | Facility | None | $208.93 | $275.42 | $338.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $245.47 | Professional | None | $61.66 | $93.33 | $245.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $74.13 Median $112.20 Typical High $295.12 | Professional | 22 · Increased work | $74.13 | $112.20 | $295.12 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $64.57 Typical High $173.78 | Professional | 54 · Surgery only | $43.65 | $64.57 | $173.78 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $46.77 Median $69.18 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $46.77 | $69.18 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Facility | None | $177.83 | $177.83 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $151.36 Typical High $275.42 | Professional | None | $58.88 | $151.36 | $275.42 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $125.89 Typical High $269.15 | Facility | None | $37.15 | $125.89 | $269.15 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $380.19 | Professional | None | $64.57 | $97.72 | $380.19 |
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 $27.54 Median $42.66 Typical High $134.90 | Professional | None | $27.54 | $42.66 | $134.90 |
1 more rate 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 55 · Aftercare only Typical Low $5.50 Median $5.75 Typical High $14.79 | Facility | 55 · Aftercare only | $5.50 | $5.75 | $14.79 |
Where North Dakota sits
The same service costs 2.8 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· 9th of 51
$97.72
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.