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 $18,197.01 Median $18,197.01 Typical High $18,197.01 | Facility | None | $18,197.01 | $18,197.01 | $18,197.01 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | 52 · Reduced service | $8,912.51 | $8,912.51 | $8,912.51 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | 53 · Discontinued | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | 54 · Surgery only | $13,489.63 | $13,489.63 | $13,489.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | 55 · Aftercare only | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | 56 · Pre-op care only | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $18,197.01 Median $18,197.01 Typical High $18,197.01 | Professional | None | $18,197.01 | $18,197.01 | $18,197.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | 52 · Reduced service | $8,912.51 | $8,912.51 | $8,912.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | 53 · Discontinued | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | 54 · Surgery only | $13,489.63 | $13,489.63 | $13,489.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 55 · Aftercare only | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $1,819.70 | $1,819.70 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $10,471.29 Median $42,657.95 Typical High $70,794.58 | Facility | None | $10,471.29 | $42,657.95 | $70,794.58 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $13,489.63 | Facility | None | $3,981.07 | $5,248.07 | $13,489.63 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $13,803.84 | Facility | None | $3,981.07 | $5,623.41 | $13,803.84 |
Where Minnesota sits
The same service costs 323.6 times more in Alaska than in Montana. 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· 5th of 51
$18,197
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.