How much rates vary
Facilitymedian $1,622 · 10th to 90th $589 to $5,623Professionalmedian $1,202 · 10th to 90th $589 to $1,995
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. Small sample; interpret with caution. 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 $676.08 Median $4,365.16 Typical High $5,623.41 | Facility | Global | $676.08 | $4,365.16 | $5,623.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 55 · Aftercare only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier Global Typical Low $588.84 Median $724.44 Typical High $15,135.61 | Professional | Global | $588.84 | $724.44 | $15,135.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $177.83 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $177.83 |
Avera Setting Facility Modifier Global Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | Global | $1,380.38 | $1,380.38 | $1,380.38 |
Avera Setting Professional Modifier Global Typical Low $676.08 Median $1,348.96 Typical High $1,445.44 | Professional | Global | $676.08 | $1,348.96 | $1,445.44 |
Cigna Setting Professional Modifier Global Typical Low $1,412.54 Median $1,584.89 Typical High $1,995.26 | Professional | Global | $1,412.54 | $1,584.89 | $1,995.26 |
Medica Setting Facility Modifier Global Typical Low $512.86 Median $831.76 Typical High $4,168.69 | Facility | Global | $512.86 | $831.76 | $4,168.69 |
Medica Setting Professional Modifier Global Typical Low $602.56 Median $954.99 Typical High $1,995.26 | Professional | Global | $602.56 | $954.99 | $1,995.26 |
Midlands Setting Professional Modifier Global Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Professional | Global | $1,621.81 | $1,621.81 | $1,659.59 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $794.33 Median $1,148.15 Typical High $1,348.96 | Professional | Global | $794.33 | $1,148.15 | $1,348.96 |
United Setting Facility Modifier Global Typical Low $4,466.84 Median $4,466.84 Typical High $10,964.78 | Facility | Global | $4,466.84 | $4,466.84 | $10,964.78 |
United Setting Professional Modifier Global Typical Low $758.58 Median $1,258.93 Typical High $1,949.84 | Professional | Global | $758.58 | $1,258.93 | $1,949.84 |
Wellmark Setting Professional Modifier Global Typical Low $1,202.26 Median $1,479.11 Typical High $1,479.11 | Professional | Global | $1,202.26 | $1,479.11 | $1,479.11 |
Where South Dakota sits
The same service costs 10.7 times more in New Mexico 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.
Physician feeFacility fee
NM $14,445WV $1,352
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.