How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,000 to $6,607Professionalmedian $692 · 10th to 90th $617 to $871
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 $691.83 Median $6,606.93 Typical High $7,244.36 | Facility | None | $691.83 | $6,606.93 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | None | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | 52 · Reduced service | $346.74 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $524.81 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $562.34 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $4,073.80 | Facility | None | $1,023.29 | $1,819.70 | $4,073.80 |
United Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $891.25 | Professional | None | $588.84 | $724.44 | $891.25 |