How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $1,202.26 Median $4,365.16 Typical High $4,365.16 | Facility | Global | $1,202.26 | $4,365.16 | $4,365.16 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Medica Setting Facility Modifier Global Typical Low $1,000.00 Median $1,659.59 Typical High $3,162.28 | Facility | Global | $1,000.00 | $1,659.59 | $3,162.28 |
Midlands Setting Professional Modifier Global Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | Global | $2,691.53 | $2,754.23 | $2,754.23 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $1,380.38 Median $1,995.26 Typical High $2,398.83 | Professional | Global | $1,380.38 | $1,995.26 | $2,398.83 |
Sanford Health Plan Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 80 · Assistant surgeon | $467.74 | $467.74 | $467.74 |
Sanford Health Plan Setting Professional Modifier AS · PA/NP assist Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | AS · PA/NP assist | $467.74 | $467.74 | $467.74 |
United Setting Facility Modifier Global Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | Global | $1,995.26 | $1,995.26 | $1,995.26 |
Where South Dakota sits
The same service costs 26.3 times more in West Virginia than in Mississippi. 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· 35th of 50
$1,995
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.