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 $1,096.48 Median $1,096.48 Typical High $4,365.16 | Facility | None | $1,096.48 | $1,096.48 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | None | $891.25 | $891.25 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,862.09 | Facility | None | $1,513.56 | $1,513.56 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,454.71 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $1,995.26 | Facility | None | $758.58 | $1,288.25 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $7,943.28 | Professional | None | $1,288.25 | $2,290.87 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Sanford Health Plan Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,412.54 | $1,778.28 | $2,137.96 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,202.26 | Facility | None | $758.58 | $758.58 | $1,202.26 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,174.90 | $2,137.96 | $3,019.95 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,691.53 | $2,691.53 |
2 more rates 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 $676.08 Median $676.08 Typical High $812.83 | Professional | 54 · Surgery only | $676.08 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $758.58 |
Where South Dakota sits
The same service costs 5.4 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
$2,344
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.