How much rates vary
Facilitymedian $16,596 · 10th to 90th $4,074 to $54,954Professionalmedian $16,596 · 10th to 90th $16,596 to $16,596
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 $16,595.87 Median $16,595.87 Typical High $54,954.09 | Facility | None | $16,595.87 | $16,595.87 | $54,954.09 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | 52 · Reduced service | $8,317.64 | $8,317.64 | $8,317.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | 53 · Discontinued | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | 54 · Surgery only | $12,302.69 | $12,302.69 | $12,302.69 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | 55 · Aftercare only | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | 56 · Pre-op care only | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | None | $16,595.87 | $16,595.87 | $16,595.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | 52 · Reduced service | $8,317.64 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | 53 · Discontinued | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | 54 · Surgery only | $12,302.69 | $12,302.69 | $12,302.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 55 · Aftercare only | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 56 · Pre-op care only | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16,982.44 Median $34,673.69 Typical High $69,183.10 | Facility | None | $16,982.44 | $34,673.69 | $69,183.10 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $26,915.35 | Facility | None | $3,981.07 | $5,248.07 | $26,915.35 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $46,773.51 | Facility | None | $3,981.07 | $5,623.41 | $46,773.51 |
Where Minnesota sits
The same service costs 5754.4 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
$16,596
OK $22,909ME $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.