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 $323.59 Median $2,290.87 Typical High $4,365.16 | Facility | None | $323.59 | $2,290.87 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $549.54 | Professional | None | $281.84 | $281.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,513.56 | Facility | None | $478.63 | $1,023.29 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $954.99 | Professional | None | $537.03 | $741.31 | $954.99 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $1,202.26 | Facility | None | $398.11 | $758.58 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $741.31 Typical High $2,454.71 | Professional | None | $323.59 | $741.31 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None | $741.31 | $741.31 | $758.58 |
Midlands Setting Facility Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,348.96 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Sanford Health Plan Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $660.69 | Professional | None | $354.81 | $489.78 | $660.69 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,698.24 | Facility | None | $758.58 | $891.25 | $1,698.24 |
United Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $891.25 | Professional | None | $316.23 | $630.96 | $891.25 |
Wellmark Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $851.14 | Professional | None | $741.31 | $851.14 | $851.14 |
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 $194.98 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $194.98 | $194.98 | $229.09 |
Where South Dakota sits
The same service costs 5.2 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
$741
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.