How much rates vary
Facilitymedian $468 · 10th to 90th $275 to $4,266Professionalmedian $3,548 · 10th to 90th $2,884 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 $3,548.13 Median $3,548.13 Typical High $7,244.36 | Facility | None | $3,548.13 | $3,548.13 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,073.80 | Professional | None | $3,548.13 | $3,548.13 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | 53 · Discontinued | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,691.53 Typical High $3,019.95 | Professional | 54 · Surgery only | $2,691.53 | $2,691.53 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $407.38 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,511.89 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,511.89 | $2,818.38 |
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 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,570.88 | Professional | None | $2,754.23 | $3,311.31 | $4,570.88 |