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 $223.87 Median $323.59 Typical High $4,365.16 | Facility | None | $223.87 | $323.59 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $316.23 | Professional | None | $190.55 | $269.15 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $575.44 | Facility | None | $251.19 | $302.00 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $794.33 | Professional | None | $446.68 | $645.65 | $794.33 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $2,089.30 | Facility | None | $323.59 | $457.09 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $812.83 Typical High $2,344.23 | Professional | None | $338.84 | $812.83 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $758.58 | Professional | None | $524.81 | $524.81 | $758.58 |
Midlands Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $331.13 | Facility | None | $245.47 | $269.15 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $741.31 | Professional | None | $457.09 | $512.86 | $741.31 |
Sanford Health Plan Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $575.44 | Professional | None | $323.59 | $436.52 | $575.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,398.83 | Facility | None | $1,995.26 | $1,995.26 | $2,398.83 |
United Setting Professional Modifier None Typical Low $257.04 Median $602.56 Typical High $912.01 | Professional | None | $257.04 | $602.56 | $912.01 |
Wellmark Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $776.25 | Professional | None | $446.68 | $524.81 | $776.25 |
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 78 · Unplanned return to OR Typical Low $134.90 Median $190.55 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $134.90 | $190.55 | $223.87 |
Where South Dakota sits
The same service costs 5.0 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.
South Dakota· 6th of 51
$525
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.