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 $30.90 Median $128.82 Typical High $4,365.16 | Facility | None | $30.90 | $128.82 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $83.18 Typical High $144.54 | Professional | None | $24.55 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $213.80 | Facility | None | $125.89 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $288.40 | Professional | None | $60.26 | $85.11 | $288.40 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $144.54 Typical High $223.87 | Facility | None | $41.69 | $144.54 | $223.87 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $323.59 Typical High $870.96 | Professional | None | $109.65 | $323.59 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $288.40 | Professional | None | $70.79 | $70.79 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $173.78 | Facility | None | $125.89 | $141.25 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $288.40 | Professional | None | $63.10 | $67.61 | $288.40 |
Sanford Health Plan Setting Professional Modifier None Typical Low $48.98 Median $154.88 Typical High $218.78 | Professional | None | $48.98 | $154.88 | $218.78 |
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 $36.31 Median $93.33 Typical High $354.81 | Professional | None | $36.31 | $93.33 | $354.81 |
Wellmark Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $288.40 | Professional | None | $53.70 | $63.10 | $288.40 |
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 $18.62 Median $56.23 Typical High $87.10 | Professional | 54 · Surgery only | $18.62 | $56.23 | $87.10 |
Where South Dakota sits
The same service costs 5.1 times more in Iowa 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· 10th 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.