How much rates vary
Facilitymedian $240 · 10th to 90th $240 to $525Professionalmedian $525 · 10th to 90th $240 to $525
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 $239.88 Median $239.88 Typical High $524.81 | Facility | None | $239.88 | $239.88 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $524.81 Typical High $524.81 | Professional | None | $239.88 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $120.23 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $47.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $36.31 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $23.99 | $52.48 | $52.48 |