How much rates vary
Facilitymedian $8,913 · 10th to 90th $794 to $23,988Professionalmedian $23,988 · 10th to 90th $23,988 to $23,988
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 $23,988.33 Median $23,988.33 Typical High $23,988.33 | Facility | None | $23,988.33 | $23,988.33 | $23,988.33 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | 52 · Reduced service | $12,022.64 | $12,022.64 | $12,022.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | 53 · Discontinued | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Facility | 54 · Surgery only | $17,782.79 | $17,782.79 | $17,782.79 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | 55 · Aftercare only | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | 56 · Pre-op care only | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | None | $23,988.33 | $23,988.33 | $23,988.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | 52 · Reduced service | $12,022.64 | $12,022.64 | $12,022.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | 53 · Discontinued | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | 54 · Surgery only | $17,782.79 | $17,782.79 | $17,782.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | 55 · Aftercare only | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 56 · Pre-op care only | $2,398.83 | $2,398.83 | $2,398.83 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8,912.51 Median $16,982.44 Typical High $40,738.03 | Facility | None | $8,912.51 | $16,982.44 | $40,738.03 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,548.13 | Facility | None | $758.58 | $1,412.54 | $3,548.13 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,981.07 | Facility | None | $758.58 | $1,513.56 | $3,981.07 |
Where Minnesota sits
The same service costs 6025.6 times more in Oklahoma than in Maine. 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· 4th of 51
$20,417
OK $23,988ME $3.98
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.