How much rates vary
Facilitymedian $3,548 · 10th to 90th $87 to $9,772Professionalmedian $87 · 10th to 90th $87 to $398
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 $87.10 Median $398.11 Typical High $398.11 | Facility | None | $87.10 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $398.11 | Professional | None | $87.10 | $87.10 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $199.53 | Professional | 52 · Reduced service | $42.66 | $42.66 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $79.43 | Professional | 53 · Discontinued | $17.38 | $17.38 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $60.26 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $39.81 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $39.81 |
AmeriHealth Setting Facility Modifier None Typical Low $3,548.13 Median $6,606.93 Typical High $10,715.19 | Facility | None | $3,548.13 | $6,606.93 | $10,715.19 |