How much rates vary
Facilitymedian $42 · 10th to 90th $42 to $42Professionalmedian $42 · 10th to 90th $29 to $42
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | 52 · Reduced service | $20.89 | $20.89 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 55 · Aftercare only | $6.17 | $6.17 | $6.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | 56 · Pre-op care only | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | None | $28.84 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $14.13 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $4.27 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.82 | $4.17 | $4.17 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $47.86 Typical High $47.86 | Facility | None | $28.84 | $47.86 | $47.86 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |