How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $19Professionalmedian $4 · 10th to 90th $4 to $19
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 $4.07 Median $4.07 Typical High $18.62 | Facility | None | $4.07 | $4.07 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $18.62 | Professional | None | $4.07 | $4.07 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $9.12 | Professional | 52 · Reduced service | $2.04 | $2.04 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $3.72 | Professional | 53 · Discontinued | $0.81 | $0.81 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $2.75 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.41 Typical High $1.82 | Professional | 56 · Pre-op care only | $0.41 | $0.41 | $1.82 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |