How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $3 · 10th to 90th $3 to $87
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 $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $87.10 | Professional | None | $3.47 | $3.47 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $42.66 | Professional | 52 · Reduced service | $1.74 | $1.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $17.38 | Professional | 53 · Discontinued | $0.69 | $0.69 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $12.88 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $8.71 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $8.71 |