How much rates vary
Facilitymedian $468 · 10th to 90th $275 to $4,266Professionalmedian $3,162 · 10th to 90th $3,162 to $4,266
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 $3,162.28 Median $3,162.28 Typical High $7,244.36 | Facility | None | $3,162.28 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $4,265.80 | Professional | None | $3,162.28 | $3,162.28 | $4,265.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | 53 · Discontinued | $630.96 | $630.96 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $426.58 |
United Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $4,265.80 | Facility | None | $275.42 | $446.68 | $4,265.80 |