How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,073.80 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,011.87 | Facility | None | $4,073.80 | $4,073.80 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,715.35 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $7,413.10 | Facility | None | $4,786.30 | $7,413.10 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $16,982.44 | Professional | None | $3,715.35 | $4,168.69 | $16,982.44 |
Midlands Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Sanford Health Plan Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
United Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $4,570.88 | Professional | None | $3,981.07 | $4,168.69 | $4,570.88 |
Wellmark Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Wellmark Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | 53 · Discontinued | $812.83 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $478.63 |
Where South Dakota sits
The same service costs 2.2 times more in Alaska than in South Carolina. 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· 44th of 51
$3,802
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.