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 $2,187.76 Median $2,187.76 Typical High $4,365.16 | Facility | None | $2,187.76 | $2,187.76 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,630.78 | Professional | None | $1,819.70 | $1,819.70 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,801.89 | Facility | None | $3,090.30 | $3,090.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,897.79 Typical High $6,165.95 | Professional | None | $3,467.37 | $4,897.79 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $2,570.40 Typical High $3,090.30 | Facility | None | $758.58 | $2,570.40 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $5,011.87 Typical High $18,620.87 | Professional | None | $2,344.23 | $5,011.87 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Sanford Health Plan Setting Professional Modifier None Typical Low $2,570.40 Median $3,235.94 Typical High $4,365.16 | Professional | None | $2,570.40 | $3,235.94 | $4,365.16 |
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 $2,137.96 Median $4,265.80 Typical High $6,025.60 | Professional | None | $2,137.96 | $4,265.80 | $6,025.60 |
Wellmark Setting Professional Modifier None Typical Low $4,570.88 Median $5,370.32 Typical High $5,370.32 | Professional | None | $4,570.88 | $5,370.32 | $5,370.32 |
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 $1,348.96 Median $1,348.96 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,548.82 |
Where South Dakota sits
The same service costs 21.9 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
$4,571
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.