How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,047 to $13,804Professionalmedian $724 · 10th to 90th $363 to $1,660
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 $1,047.13 Median $10,715.19 Typical High $13,803.84 | Facility | Global | $1,047.13 | $10,715.19 | $13,803.84 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $3,467.37 Median $9,772.37 Typical High $16,982.44 | Facility | 50 · Both sides | $3,467.37 | $9,772.37 | $16,982.44 |
Aetna Setting Professional Modifier Global Typical Low $363.08 Median $724.44 Typical High $1,659.59 | Professional | Global | $363.08 | $724.44 | $1,659.59 |
Avera Setting Facility Modifier Global Typical Low $416.87 Median $851.14 Typical High $6,456.54 | Facility | Global | $416.87 | $851.14 | $6,456.54 |
Avera Setting Professional Modifier Global Typical Low $501.19 Median $891.25 Typical High $912.01 | Professional | Global | $501.19 | $891.25 | $912.01 |
Cigna Setting Professional Modifier Global Typical Low $691.83 Median $977.24 Typical High $1,230.27 | Professional | Global | $691.83 | $977.24 | $1,230.27 |
Medica Setting Facility Modifier Global Typical Low $389.05 Median $676.08 Typical High $1,174.90 | Facility | Global | $389.05 | $676.08 | $1,174.90 |
Medica Setting Facility Modifier 50 · Both sides Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Facility | 50 · Both sides | $22,908.68 | $22,908.68 | $22,908.68 |
Medica Setting Professional Modifier Global Typical Low $398.11 Median $660.69 Typical High $3,981.07 | Professional | Global | $398.11 | $660.69 | $3,981.07 |
Midlands Setting Professional Modifier Global Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | Global | $954.99 | $954.99 | $954.99 |
Midlands Setting Professional Modifier Global Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | Global | $891.25 | $891.25 | $891.25 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $478.63 Median $707.95 Typical High $851.14 | Professional | Global | $478.63 | $707.95 | $851.14 |
Sanford Health Plan Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 80 · Assistant surgeon | $165.96 | $165.96 | $165.96 |
Sanford Health Plan Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | AS · PA/NP assist | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier Global Typical Low $5,370.32 Median $5,370.32 Typical High $12,302.69 | Facility | Global | $5,370.32 | $5,370.32 | $12,302.69 |
United Setting Professional Modifier Global Typical Low $407.38 Median $691.83 Typical High $1,148.15 | Professional | Global | $407.38 | $691.83 | $1,148.15 |
Wellmark Setting Professional Modifier Global Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | Global | $933.25 | $1,071.52 | $1,071.52 |
Where South Dakota sits
The same service costs 13.2 times more in West Virginia than in Montana. 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.
Physician feeFacility fee
WV $17,599MT $1,334
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.