How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.35 Median $0.35 Typical High $0.35 | Facility | None | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.35 Typical High $0.38 | Professional | None | $0.32 | $0.35 | $0.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.18 Typical High $0.19 | Professional | 52 · Reduced service | $0.16 | $0.18 | $0.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.54 | Professional | None | $0.28 | $0.28 | $0.54 |