How much rates vary
Facilitymedian $42 · 10th to 90th $42 to $42Professionalmedian $72 · 10th to 90th $42 to $123
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | None | $41.69 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $26.92 | Professional | 52 · Reduced service | $20.89 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $10.72 | Professional | 53 · Discontinued | $8.51 | $8.51 | $10.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 59 · Distinct service | $22.39 | $22.39 | $22.39 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 59 · Distinct service | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $125.89 | Professional | None | $63.10 | $77.62 | $125.89 |