How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $174Professionalmedian $102 · 10th to 90th $81 to $102
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 $69.18 Median $87.10 Typical High $87.10 | Professional | None | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $11.22 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.41 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |