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Anesthesia With Deliberately Lowered Blood Pressure

North Dakota rates for HCPCS 99135

An addition to the anesthesia service, used when the anesthesia clinician intentionally lowers the patient's blood pressure and holds it down for part of the operation. Reducing pressure reduces bleeding into the surgical field, giving the surgeon a clear view for fine work, but it demands very close monitoring to keep enough blood reaching the brain, heart and kidneys. It is billed in addition to the main anesthesia service, never on its own.

Rates data updated October 2026.

How much does Anesthesia With Deliberately Lowered Blood Pressure cost?

$44.67

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $44.67 for this service. Most negotiated rates run $31.62 to $363.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45 · 10th to 90th $45 to $389Professionalmedian $45 · 10th to 90th $21 to $741
$20$100$500$2Kfacility $45professional $45

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$47.86
Typical High
$446.68
BCBS North Dakota
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$75.86
Median
$75.86
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$32.36
Median
$32.36
Typical High
$35.48
BCBS North Dakota
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$64.57
Median
$64.57
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$25.12
Typical High
$36.31
Medica
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84

Where North Dakota sits

The same service costs 70.8 times more in Massachusetts than in South Carolina. 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· 49th of 51

$44.67

MA $2,138SC $30.20

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.