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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | 52 · Reduced service | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | 53 · Discontinued | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | 54 · Surgery only | $5,623.41 | $5,623.41 | $5,623.41 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | 55 · Aftercare only | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 56 · Pre-op care only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $7,585.78 Typical High $7,585.78 | Professional | None | $3,162.28 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $3,801.89 Typical High $3,801.89 | Professional | 52 · Reduced service | $1,584.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $1,513.56 Typical High $1,513.56 | Professional | 53 · Discontinued | $630.96 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $5,623.41 Typical High $5,623.41 | Professional | 54 · Surgery only | $2,344.23 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $1,122.02 Typical High $1,122.02 | Professional | 55 · Aftercare only | $467.74 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $758.58 Typical High $758.58 | Professional | 56 · Pre-op care only | $316.23 | $758.58 | $758.58 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,467.37 | Facility | None | $758.58 | $1,412.54 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $42,657.95 | Professional | None | $42,657.95 | $42,657.95 | $42,657.95 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
Where Minnesota sits
The same service costs 257.0 times more in Wisconsin 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.
Minnesota· 3rd of 51
$7,586
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.