How much rates vary
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 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier Global Typical Low $17.78 Median $169.82 Typical High $218.78 | Professional | Global | $17.78 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $51.29 | Professional | 26 · Professional part | $16.98 | $18.20 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $31.62 Typical High $41.69 | Professional | 52 · Reduced service | $30.90 | $31.62 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $41.69 | $44.67 | $58.88 |
Avera Setting Professional Modifier Global Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | Global | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier Global Typical Low $114.82 Median $128.82 Typical High $162.18 | Professional | Global | $114.82 | $128.82 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $38.02 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $91.20 | $114.82 |
Medica Setting Professional Modifier Global Typical Low $57.54 Median $89.13 Typical High $416.87 | Professional | Global | $57.54 | $89.13 | $416.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $114.82 | Professional | 26 · Professional part | $16.22 | $25.12 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $302.00 | Professional | TC · Technical part | $38.02 | $57.54 | $302.00 |
Midlands Setting Professional Modifier Global Typical Low $114.82 Median $117.49 Typical High $151.36 | Professional | Global | $114.82 | $117.49 | $151.36 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $37.15 | $45.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $79.43 | $81.28 | $104.71 |
Midlands Setting Professional Modifier Global Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | Global | $112.20 | $112.20 | $131.83 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $42.66 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $77.62 | $91.20 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $70.79 Median $97.72 Typical High $131.83 | Professional | Global | $70.79 | $97.72 | $131.83 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $30.90 | $38.90 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $67.61 | $93.33 |
United Setting Professional Modifier Global Typical Low $60.26 Median $100.00 Typical High $147.91 | Professional | Global | $60.26 | $100.00 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $33.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $42.66 | $79.43 | $100.00 |
Wellmark Setting Professional Modifier Global Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | Global | $102.33 | $128.82 | $158.49 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $36.31 | $44.67 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $91.20 | $112.20 |
Where South Dakota sits
The same service costs 2.5 times more in South Dakota 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· 1st of 51
$148
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.