How much rates vary
Facilitymedian $427 · 10th to 90th $219 to $4,365Professionalmedian $447 · 10th to 90th $251 to $794
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 $234.42 Median $2,290.87 Typical High $4,365.16 | Facility | Global | $234.42 | $2,290.87 | $4,365.16 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $229.09 | Facility | 54 · Surgery only | $177.83 | $177.83 | $229.09 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $331.13 Typical High $794.33 | Professional | Global | $229.09 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $812.83 Typical High $1,047.13 | Professional | 50 · Both sides | $812.83 | $812.83 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $199.53 Typical High $389.05 | Professional | 54 · Surgery only | $154.88 | $199.53 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $39.81 Typical High $77.62 | Professional | 55 · Aftercare only | $30.90 | $39.81 | $77.62 |
Cigna Setting Professional Modifier Global Typical Low $489.78 Median $691.83 Typical High $870.96 | Professional | Global | $489.78 | $691.83 | $870.96 |
Medica Setting Facility Modifier Global Typical Low $204.17 Median $380.19 Typical High $776.25 | Facility | Global | $204.17 | $380.19 | $776.25 |
Medica Setting Professional Modifier Global Typical Low $263.03 Median $467.74 Typical High $933.25 | Professional | Global | $263.03 | $467.74 | $933.25 |
Midlands Setting Professional Modifier Global Typical Low $549.54 Median $691.83 Typical High $707.95 | Professional | Global | $549.54 | $691.83 | $707.95 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $331.13 Median $457.09 Typical High $575.44 | Professional | Global | $331.13 | $457.09 | $575.44 |
United Setting Facility Modifier Global Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | Global | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier Global Typical Low $295.12 Median $489.78 Typical High $812.83 | Professional | Global | $295.12 | $489.78 | $812.83 |
Wellmark Setting Professional Modifier Global Typical Low $426.58 Median $512.86 Typical High $758.58 | Professional | Global | $426.58 | $512.86 | $758.58 |
Where South Dakota sits
The same service costs 3.4 times more in Wyoming than in West Virginia. 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· 13th of 51
$447
WY $1,000WV $295
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.