How much rates vary
Professionalmedian $6 · 10th to 90th $6 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 Professional Modifier None Typical Low $0.72 Median $6.17 Typical High $6.17 | Professional | None | $0.72 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.93 Typical High $0.93 | Professional | 55 · Aftercare only | $0.11 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.07 | $0.62 | $0.62 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service + 81 · Minimal assistant surgeon Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 12 + 32 · Mandated service + 81 · Minimal assistant surgeon | $4.90 | $4.90 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.00 | Professional | None | $8.13 | $8.13 | $10.00 |