How much rates vary
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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | 52 · Reduced service | $10.72 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $3.72 | Professional | 55 · Aftercare only | $3.16 | $3.16 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $38.02 Typical High $38.02 | Facility | None | $32.36 | $38.02 | $38.02 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $23.44 | Professional | None | $18.20 | $21.38 | $23.44 |
United Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | None | $20.42 | $21.38 | $23.44 |
Where South Dakota sits
The same service costs 1.7 times more in Alaska than in Hawaii. 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· 25th of 51
$21.38
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.