How much rates vary
Facilitymedian $525 · 10th to 90th $282 to $2,455Professionalmedian $3,020 · 10th to 90th $2,291 to $4,074
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 $1,071.52 Median $1,862.09 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,862.09 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,344.23 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,230.27 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $489.78 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,819.70 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,995.26 | Facility | None | $281.84 | $457.09 | $1,995.26 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $4,786.30 | Professional | None | $2,238.72 | $2,511.89 | $4,786.30 |