How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,349 to $5,888Professionalmedian $1,122 · 10th to 90th $832 to $1,288
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 $1,202.26 Median $7,244.36 Typical High $7,585.78 | Facility | None | $1,202.26 | $7,244.36 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $602.56 Typical High $616.60 | Professional | 52 · Reduced service | $588.84 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $239.88 Typical High $245.47 | Professional | 53 · Discontinued | $234.42 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $120.23 Typical High $123.03 | Professional | 56 · Pre-op care only | $117.49 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $870.96 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $4,466.84 | Facility | None | $1,412.54 | $2,398.83 | $4,466.84 |
United Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,288.25 | Professional | None | $831.76 | $954.99 | $1,288.25 |