How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $8Professionalmedian $3 · 10th to 90th $3 to $8
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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.20 | Facility | 55 · Aftercare only | $1.20 | $1.20 | $1.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | 56 · Pre-op care only | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $0.79 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.31 Median $4.90 Typical High $8.32 | Facility | None | $3.31 | $4.90 | $8.32 |
BCBS Minnesota Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $3.31 | Professional | None | $2.63 | $3.31 | $3.31 |