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 $331.13 Median $630.96 Typical High $4,365.16 | Facility | None | $331.13 | $630.96 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $489.78 Typical High $645.65 | Professional | None | $263.03 | $489.78 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $1,202.26 | Facility | None | $338.84 | $457.09 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,621.81 | Professional | None | $645.65 | $912.01 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $446.68 Typical High $933.25 | Facility | None | $125.89 | $446.68 | $933.25 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,318.26 Typical High $2,398.83 | Professional | None | $562.34 | $1,318.26 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,412.54 | Professional | None | $776.25 | $776.25 | $1,412.54 |
Midlands Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $645.65 | Facility | None | $338.84 | $398.11 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,288.25 | Professional | None | $676.08 | $676.08 | $1,288.25 |
Sanford Health Plan Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,230.27 | Professional | None | $512.86 | $776.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $223.87 | Facility | None | $125.89 | $125.89 | $223.87 |
United Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $1,737.80 | Professional | None | $398.11 | $870.96 | $1,737.80 |
Wellmark Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $1,445.44 | Professional | None | $512.86 | $588.84 | $1,445.44 |
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 54 · Surgery only Typical Low $199.53 Median $371.54 Typical High $478.63 | Professional | 54 · Surgery only | $199.53 | $371.54 | $478.63 |
Where South Dakota sits
The same service costs 3.1 times more in Alaska than in Maryland. 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.
South Dakota· 7th of 51
$776
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.