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 $117.49 Median $2,290.87 Typical High $4,365.16 | Facility | None | $117.49 | $2,290.87 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $190.55 | Professional | None | $93.33 | $93.33 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $1,122.02 | Facility | None | $158.49 | $194.98 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $316.23 | Professional | None | $177.83 | $263.03 | $316.23 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $1,202.26 | Facility | None | $147.91 | $257.04 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $1,148.15 | Professional | None | $123.03 | $263.03 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Sanford Health Plan Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $229.09 | Professional | None | $144.54 | $177.83 | $229.09 |
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 $114.82 Median $223.87 Typical High $316.23 | Professional | None | $114.82 | $223.87 | $316.23 |
Wellmark Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $269.15 | Professional | None | $234.42 | $269.15 | $269.15 |
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 $69.18 Median $69.18 Typical High $87.10 | Professional | 54 · Surgery only | $69.18 | $69.18 | $87.10 |
Where South Dakota sits
The same service costs 4.9 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· 6th of 51
$251
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.