How much rates vary
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 $5,370.32 Median $9,772.37 Typical High $14,454.40 | Facility | Global | $5,370.32 | $9,772.37 | $14,454.40 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Avera Setting Facility Modifier Global Typical Low $1,148.15 Median $2,344.23 Typical High $10,964.78 | Facility | Global | $1,148.15 | $2,344.23 | $10,964.78 |
Medica Setting Facility Modifier Global Typical Low $1,412.54 Median $2,691.53 Typical High $13,182.57 | Facility | Global | $1,412.54 | $2,691.53 | $13,182.57 |
Midlands Setting Professional Modifier Global Typical Low $2,630.27 Median $3,019.95 Typical High $3,388.44 | Professional | Global | $2,630.27 | $3,019.95 | $3,388.44 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $1,621.81 Median $2,290.87 Typical High $2,884.03 | Professional | Global | $1,621.81 | $2,290.87 | $2,884.03 |
Sanford Health Plan Setting Professional Modifier 80 · Assistant surgeon Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 80 · Assistant surgeon | $549.54 | $549.54 | $549.54 |
Sanford Health Plan Setting Professional Modifier AS · PA/NP assist Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | AS · PA/NP assist | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier Global Typical Low $6,606.93 Median $6,606.93 Typical High $21,877.62 | Facility | Global | $6,606.93 | $6,606.93 | $21,877.62 |
Where South Dakota sits
The same service costs 14.5 times more in West Virginia than in Arkansas. 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· 38th of 51
$5,370
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.