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 $154.88 Median $1,905.46 Typical High $4,365.16 | Facility | None | $154.88 | $1,905.46 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $446.68 Typical High $2,238.72 | Professional | None | $131.83 | $446.68 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $3,019.95 | Facility | None | $1,862.09 | $2,398.83 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $4,786.30 | Professional | None | $363.08 | $457.09 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $2,089.30 Typical High $2,630.27 | Facility | None | $223.87 | $2,089.30 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $5,128.61 Typical High $6,025.60 | Professional | None | $1,659.59 | $5,128.61 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $4,466.84 | Professional | None | $363.08 | $363.08 | $4,466.84 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $5,011.87 | Facility | None | $1,862.09 | $2,691.53 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $3,890.45 | Professional | None | $323.59 | $323.59 | $3,890.45 |
Sanford Health Plan Setting Professional Modifier None Typical Low $257.04 Median $2,290.87 Typical High $3,388.44 | Professional | None | $257.04 | $2,290.87 | $3,388.44 |
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 $204.17 Median $446.68 Typical High $5,370.32 | Professional | None | $204.17 | $446.68 | $5,370.32 |
Wellmark Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $3,890.45 | Professional | None | $269.15 | $331.13 | $3,890.45 |
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 $100.00 Median $125.89 Typical High $1,348.96 | Professional | 54 · Surgery only | $100.00 | $125.89 | $1,348.96 |
Where South Dakota sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 11th of 51
$2,089
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.