How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $162.18 Median $758.58 Typical High $4,365.16 | Facility | None | $162.18 | $758.58 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $1,023.29 | Professional | None | $138.04 | $223.87 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,380.38 | Facility | None | $467.74 | $954.99 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $2,187.76 | Professional | None | $371.54 | $467.74 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,122.02 Typical High $1,819.70 | Facility | None | $229.09 | $1,122.02 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $2,041.74 Typical High $2,754.23 | Professional | None | $645.65 | $2,041.74 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $1,621.81 | Professional | None | $380.19 | $380.19 | $1,621.81 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,047.13 | Facility | None | $467.74 | $912.01 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $1,513.56 | Professional | None | $338.84 | $338.84 | $1,513.56 |
Sanford Health Plan Setting Professional Modifier None Typical Low $257.04 Median $1,023.29 Typical High $1,412.54 | Professional | None | $257.04 | $1,023.29 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $194.98 Median $457.09 Typical High $2,089.30 | Professional | None | $194.98 | $457.09 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $1,819.70 | Professional | None | $288.40 | $354.81 | $1,819.70 |
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 $102.33 Median $123.03 Typical High $562.34 | Professional | 54 · Surgery only | $102.33 | $123.03 | $562.34 |
Where South Dakota sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 12th of 51
$933
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.