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 $67.61 Median $89.13 Typical High $4,365.16 | Facility | None | $67.61 | $89.13 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $91.20 | Professional | None | $56.23 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $169.82 | Facility | None | $48.98 | $66.07 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $223.87 | Professional | None | $138.04 | $169.82 | $223.87 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $223.87 | Facility | None | $95.50 | $125.89 | $223.87 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $213.80 Typical High $691.83 | Professional | None | $87.10 | $213.80 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None | $162.18 | $162.18 | $199.53 |
Midlands Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $75.86 | Facility | None | $48.98 | $64.57 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $190.55 | Professional | None | $141.25 | $154.88 | $190.55 |
Sanford Health Plan Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $173.78 | Professional | None | $97.72 | $131.83 | $173.78 |
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 $75.86 Median $169.82 Typical High $245.47 | Professional | None | $75.86 | $169.82 | $245.47 |
Wellmark Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $218.78 | Professional | None | $128.82 | $151.36 | $218.78 |
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 $42.66 Median $57.54 Typical High $69.18 | Professional | 54 · Surgery only | $42.66 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $39.81 Median $53.70 Typical High $64.57 | Professional | 78 · Unplanned return to OR | $39.81 | $53.70 | $64.57 |
Where South Dakota sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 6th of 51
$158
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.