How much rates vary
Facilitymedian $135 · 10th to 90th $51 to $380Professionalmedian $158 · 10th to 90th $105 to $355
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 $50.12 Median $134.90 Typical High $380.19 | Facility | Global | $50.12 | $134.90 | $380.19 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $23.99 Median $380.19 Typical High $380.19 | Facility | 25 · Same-day visit | $23.99 | $380.19 | $380.19 |
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $154.88 Typical High $354.81 | Professional | Global | $104.71 | $154.88 | $354.81 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $104.71 Median $194.98 Typical High $416.87 | Professional | 25 · Same-day visit | $104.71 | $194.98 | $416.87 |
Avera Setting Facility Modifier Global Typical Low $114.82 Median $186.21 Typical High $213.80 | Facility | Global | $114.82 | $186.21 | $213.80 |
Avera Setting Professional Modifier Global Typical Low $138.04 Median $208.93 Typical High $275.42 | Professional | Global | $138.04 | $208.93 | $275.42 |
Cigna Setting Professional Modifier Global Typical Low $117.49 Median $245.47 Typical High $371.54 | Professional | Global | $117.49 | $245.47 | $371.54 |
Medica Setting Facility Modifier Global Typical Low $100.00 Median $165.96 Typical High $295.12 | Facility | Global | $100.00 | $165.96 | $295.12 |
Medica Setting Professional Modifier Global Typical Low $154.88 Median $281.84 Typical High $1,047.13 | Professional | Global | $154.88 | $281.84 | $1,047.13 |
Medica Setting Professional Modifier 25 · Same-day visit Typical Low $208.93 Median $302.00 Typical High $446.68 | Professional | 25 · Same-day visit | $208.93 | $302.00 | $446.68 |
Midlands Setting Professional Modifier Global Typical Low $194.98 Median $257.04 Typical High $323.59 | Professional | Global | $194.98 | $257.04 | $323.59 |
Midlands Setting Professional Modifier Global Typical Low $194.98 Median $251.19 Typical High $363.08 | Professional | Global | $194.98 | $251.19 | $363.08 |
Sanford Health Plan Setting Professional Modifier Global Typical Low $158.49 Median $223.87 Typical High $323.59 | Professional | Global | $158.49 | $223.87 | $323.59 |
United Setting Facility Modifier Global Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | Global | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier Global Typical Low $107.15 Median $199.53 Typical High $338.84 | Professional | Global | $107.15 | $199.53 | $338.84 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $263.03 Typical High $354.81 | Professional | 25 · Same-day visit | $70.79 | $263.03 | $354.81 |
Wellmark Setting Professional Modifier Global Typical Low $158.49 Median $177.83 Typical High $269.15 | Professional | Global | $158.49 | $177.83 | $269.15 |
Where South Dakota sits
Rates are fairly even across states for this service. 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· 36th of 51
$158
MN $200DC $135
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.