How much rates vary
Facilitymedian $35 · 10th to 90th $6 to $100Professionalmedian $35 · 10th to 90th $4 to $35
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $34.67 Typical High $34.67 | Professional | None | $3.80 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.91 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $1.91 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $0.76 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $0.56 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $0.38 | $3.47 | $3.47 |
Medica Setting Facility Modifier None Typical Low $6.46 Median $6.76 Typical High $100.00 | Facility | None | $6.46 | $6.76 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |