How much rates vary
Facilitymedian $13 · 10th to 90th $13 to $13Professionalmedian $13 · 10th to 90th $13 to $355
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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $354.81 | Professional | None | $12.88 | $12.88 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $177.83 | Professional | 52 · Reduced service | $6.46 | $6.46 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $70.79 | Professional | 53 · Discontinued | $2.57 | $2.57 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $53.70 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $35.48 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | None | $44.67 | $44.67 | $64.57 |