How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $489.78 Median $2,290.87 Typical High $4,365.16 | Facility | None | $489.78 | $2,290.87 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,659.59 Typical High $3,801.89 | Facility | None | $724.44 | $1,659.59 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,445.44 | Professional | None | $812.83 | $1,122.02 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,148.15 Typical High $1,819.70 | Facility | None | $602.56 | $1,148.15 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,023.29 Typical High $4,466.84 | Professional | None | $524.81 | $1,023.29 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,122.02 | $1,122.02 |
Midlands Setting Facility Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $4,897.79 | Facility | None | $1,479.11 | $3,235.94 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Sanford Health Plan Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $954.99 | Professional | None | $575.44 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $1,380.38 | Professional | None | $467.74 | $954.99 | $1,380.38 |
Wellmark Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
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 $316.23 Median $316.23 Typical High $371.54 | Professional | 54 · Surgery only | $316.23 | $316.23 | $371.54 |
Where South Dakota sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 5th of 51
$1,047
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.