How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,380 to $5,888Professionalmedian $1,349 · 10th to 90th $1,072 to $1,445
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 $1,380.38 Median $6,606.93 Typical High $7,244.36 | Facility | None | $1,380.38 | $6,606.93 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $275.42 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,047.13 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,023.29 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $208.93 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $977.24 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $954.99 | $977.24 | $1,000.00 |
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 $977.24 Median $1,122.02 Typical High $1,513.56 | Professional | None | $977.24 | $1,122.02 | $1,513.56 |