How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $87Professionalmedian $87 · 10th to 90th $87 to $302
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $302.00 | Professional | None | $87.10 | $87.10 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $151.36 | Professional | 52 · Reduced service | $43.65 | $43.65 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $44.67 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $30.20 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $30.20 |