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 $223.87 Median $2,137.96 Typical High $4,365.16 | Facility | None | $223.87 | $2,137.96 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $2,398.83 | Professional | None | $190.55 | $223.87 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $4,365.16 | Facility | None | $1,258.93 | $1,348.96 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $3,890.45 Typical High $6,918.31 | Professional | None | $512.86 | $3,890.45 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $891.25 Typical High $3,548.13 | Facility | None | $323.59 | $891.25 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $5,754.40 Typical High $8,709.64 | Professional | None | $1,698.24 | $5,754.40 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $4,168.69 | Professional | None | $524.81 | $524.81 | $4,168.69 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,318.26 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $4,265.80 | Professional | None | $467.74 | $467.74 | $4,265.80 |
Sanford Health Plan Setting Professional Modifier None Typical Low $363.08 Median $2,570.40 Typical High $4,168.69 | Professional | None | $363.08 | $2,570.40 | $4,168.69 |
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 $275.42 Median $630.96 Typical High $6,025.60 | Professional | None | $275.42 | $630.96 | $6,025.60 |
Wellmark Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $5,888.44 | Professional | None | $407.38 | $489.78 | $5,888.44 |
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 $144.54 Median $169.82 Typical High $1,778.28 | Professional | 54 · Surgery only | $144.54 | $169.82 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $158.49 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $134.90 | $158.49 | $1,659.59 |
Where South Dakota sits
The same service costs 7.1 times more in Oregon 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· 11th of 51
$1,905
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.