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 $38.90 Median $69.18 Typical High $4,365.16 | Facility | None | $38.90 | $69.18 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $64.57 Typical High $74.13 | Professional | None | $33.11 | $64.57 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $63.10 Typical High $134.90 | Facility | None | $39.81 | $63.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $213.80 | Professional | None | $87.10 | $123.03 | $213.80 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $177.83 | Facility | None | $56.23 | $109.65 | $177.83 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $181.97 Typical High $549.54 | Professional | None | $66.07 | $181.97 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None | $91.20 | $91.20 | $147.91 |
Midlands Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $74.13 | Facility | None | $39.81 | $52.48 | $74.13 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | None | $81.28 | $81.28 | $141.25 |
Sanford Health Plan Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $134.90 | Professional | None | $63.10 | $89.13 | $134.90 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $223.87 | Facility | None | $125.89 | $125.89 | $223.87 |
United Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $190.55 | Professional | None | $46.77 | $107.15 | $190.55 |
Wellmark Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $181.97 | Professional | None | $67.61 | $83.18 | $181.97 |
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 $24.55 Median $28.84 Typical High $56.23 | Professional | 54 · Surgery only | $24.55 | $28.84 | $56.23 |
Where South Dakota sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 7th of 51
$107
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.