How much rates vary
Facilitymedian $37 · 10th to 90th $14 to $37Professionalmedian $54 · 10th to 90th $22 to $120
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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | None | $16.98 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $8.51 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $2.51 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.70 | $2.19 | $2.19 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $37.15 Typical High $37.15 | Facility | None | $17.78 | $37.15 | $37.15 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None | $33.11 | $33.11 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Wellmark Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Where South Dakota sits
The same service costs 14.5 times more in Texas 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· 8th of 51
$53.70
TX $120WV $8.32
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.