How much rates vary
Facilitymedian $447 · 10th to 90th $105 to $759Professionalmedian $295 · 10th to 90th $123 to $724
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 $75.86 Median $263.03 Typical High $4,365.16 | Facility | None | $75.86 | $263.03 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $218.78 Typical High $269.15 | Professional | None | $61.66 | $218.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $467.74 | Facility | None | $363.08 | $457.09 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $416.87 Typical High $724.44 | Professional | None | $165.96 | $416.87 | $724.44 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $371.54 Typical High $630.96 | Facility | None | $104.71 | $371.54 | $630.96 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $691.83 Typical High $954.99 | Professional | None | $223.87 | $691.83 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $575.44 | Professional | None | $177.83 | $177.83 | $575.44 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $549.54 | Facility | None | $467.74 | $467.74 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $537.03 | Professional | None | $162.18 | $162.18 | $537.03 |
Sanford Health Plan Setting Professional Modifier None Typical Low $120.23 Median $346.74 Typical High $478.63 | Professional | None | $120.23 | $346.74 | $478.63 |
United Setting Facility Modifier None Typical Low $446.68 Median $537.03 Typical High $758.58 | Facility | None | $446.68 | $537.03 | $758.58 |
United Setting Professional Modifier None Typical Low $112.20 Median $213.80 Typical High $724.44 | Professional | None | $112.20 | $213.80 | $724.44 |
Wellmark Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $676.08 | Professional | None | $138.04 | $165.96 | $676.08 |
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 $46.77 Median $58.88 Typical High $204.17 | Professional | 54 · Surgery only | $46.77 | $58.88 | $204.17 |
Where South Dakota sits
The same service costs 5.8 times more in New York than in Montana. 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.
Physician feeFacility fee
NY $2,983MT $514
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.