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 $691.83 Median $691.83 Typical High $812.83 | Facility | None | $691.83 | $691.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $831.76 | Professional | None | $660.69 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $512.86 Typical High $616.60 | Professional | 54 · Surgery only | $489.78 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $478.63 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $457.09 | $478.63 | $575.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,621.81 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,513.56 Median $1,949.84 Typical High $2,290.87 | Professional | 22 · Increased work | $1,513.56 | $1,949.84 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,148.15 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,148.15 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | 56 · Pre-op care only | $125.89 | $162.18 | $190.55 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $954.99 | $1,230.27 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,000.00 | Professional | None | $660.69 | $776.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $2,344.23 | Facility | None | $691.83 | $891.25 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $4,677.35 | Professional | None | $602.56 | $1,202.26 | $4,677.35 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,412.54 | Professional | None | $575.44 | $954.99 | $1,412.54 |
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 Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $100.00 | $102.33 | $123.03 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 5th of 51
$1,318
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.