How much rates vary
Facilitymedian $100 · 10th to 90th $9 to $282Professionalmedian $282 · 10th to 90th $5 to $282
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $281.84 Typical High $281.84 | Professional | None | $5.50 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.81 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $0.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $0.55 | $28.18 | $28.18 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $9.77 Typical High $100.00 | Facility | None | $9.12 | $9.77 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |