How much rates vary
Facilitymedian $224 · 10th to 90th $65 to $224Professionalmedian $224 · 10th to 90th $186 to $224
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 $186.21 Median $223.87 Typical High $223.87 | Facility | None | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | None | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |