How much rates vary
Facilitymedian $347 · 10th to 90th $182 to $562Professionalmedian $417 · 10th to 90th $200 to $447
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $199.53 Median $199.53 Typical High $4,365.16 | Facility | None | $199.53 | $199.53 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $218.78 | Professional | None | $181.97 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $102.33 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $41.69 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $154.88 Typical High $165.96 | Professional | 54 · Surgery only | $138.04 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.89 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.20 | $20.89 | $21.88 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $346.74 | Facility | None | $181.97 | $346.74 | $346.74 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $1,348.96 Typical High $1,348.96 | Professional | None | $199.53 | $1,348.96 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $446.68 | Professional | None | $331.13 | $446.68 | $446.68 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $562.34 | Facility | None | $467.74 | $467.74 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Wellmark Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Where South Dakota sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 19th of 51
$347
OK $3,631VT $141
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.