How much rates vary
Facilitymedian $224 · 10th to 90th $209 to $1,549Professionalmedian $224 · 10th to 90th $209 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 $208.93 Median $223.87 Typical High $251.19 | Facility | None | $208.93 | $223.87 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | None | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $30.90 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $21.88 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,698.24 | Facility | None | $1,023.29 | $1,202.26 | $1,698.24 |