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 $61.66 Median $97.72 Typical High $4,365.16 | Facility | None | $61.66 | $97.72 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $114.82 | Professional | None | $50.12 | $83.18 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $181.97 | Facility | None | $144.54 | $169.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $251.19 | Professional | None | $120.23 | $169.82 | $251.19 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $223.87 | Facility | None | $83.18 | $125.89 | $223.87 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $234.42 Typical High $2,511.89 | Professional | None | $104.71 | $234.42 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | None | $141.25 | $141.25 | $218.78 |
Midlands Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $208.93 | Professional | None | $125.89 | $134.90 | $208.93 |
Sanford Health Plan Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $186.21 | Professional | None | $95.50 | $128.82 | $186.21 |
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 $72.44 Median $162.18 Typical High $269.15 | Professional | None | $72.44 | $162.18 | $269.15 |
Wellmark Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $251.19 | Professional | None | $107.15 | $125.89 | $251.19 |
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 $37.15 Median $61.66 Typical High $72.44 | Professional | 54 · Surgery only | $37.15 | $61.66 | $72.44 |
Where South Dakota sits
The same service costs 3.6 times more in Alaska 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· 9th of 51
$141
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.