How much rates vary
Facilitymedian $3,467 · 10th to 90th $2,455 to $5,623Professionalmedian $3,236 · 10th to 90th $2,291 to $4,074
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $1,905.46 Median $4,365.16 Typical High $5,623.41 | Facility | Global | $1,905.46 | $4,365.16 | $5,623.41 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Avera Setting Facility Modifier Global Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | Global | $19,952.62 | $19,952.62 | $19,952.62 |
Medica Setting Facility Modifier Global Typical Low $2,454.71 Median $3,090.30 Typical High $5,011.87 | Facility | Global | $2,454.71 | $3,090.30 | $5,011.87 |
Midlands Setting Professional Modifier Global Typical Low $3,981.07 Median $4,365.16 Typical High $4,365.16 | Professional | Global | $3,981.07 | $4,365.16 | $4,365.16 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $2,290.87 Median $3,235.94 Typical High $3,715.35 | Professional | Global | $2,290.87 | $3,235.94 | $3,715.35 |
Sanford Health Plan Setting Professional Modifier 80 · Assistant surgeon Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 80 · Assistant surgeon | $724.44 | $724.44 | $724.44 |
Sanford Health Plan Setting Professional Modifier AS · PA/NP assist Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | AS · PA/NP assist | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier Global Typical Low $6,606.93 Median $6,606.93 Typical High $26,302.68 | Facility | Global | $6,606.93 | $6,606.93 | $26,302.68 |
Where South Dakota sits
The same service costs 18.2 times more in West Virginia than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
South Dakota $3,236 · 44th of 50
WV $34,674ND $1,905
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.