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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | None | $45.71 | $50.12 | $50.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $75.86 | Professional | None | $57.54 | $75.86 | $75.86 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | 22 · Increased work | $69.18 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | None | $77.62 | $77.62 | $97.72 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $309.03 | Facility | None | $50.12 | $61.66 | $309.03 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $57.54 Typical High $630.96 | Professional | None | $28.84 | $57.54 | $630.96 |
United Setting Professional Modifier None Typical Low $23.44 Median $46.77 Typical High $61.66 | Professional | None | $23.44 | $46.77 | $61.66 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $6.92 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.01 |
Where North Dakota sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 10th of 51
$70.79
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.