How much rates vary
Facilitymedian $30 · 10th to 90th $29 to $30Professionalmedian $30 · 10th to 90th $29 to $31
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 $28.84 Median $30.20 Typical High $30.20 | Facility | None | $28.84 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $30.90 | Professional | None | $28.84 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.37 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.02 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.88 | $3.02 | $3.09 |
AvMed Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |