How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,023 to $6,607Professionalmedian $1,148 · 10th to 90th $912 to $1,259
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 $6,606.93 Typical High $7,244.36 | Facility | None | $1,202.26 | $6,606.93 | $7,244.36 |
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 $239.88 Median $239.88 Typical High $245.47 | Professional | 53 · Discontinued | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 54 · Surgery only | $891.25 | $891.25 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $181.97 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $181.97 |
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 $851.14 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $851.14 |
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 $891.25 Median $1,023.29 Typical High $1,318.26 | Professional | None | $891.25 | $1,023.29 | $1,318.26 |