How much rates vary
Facilitymedian $68 · 10th to 90th $65 to $68Professionalmedian $68 · 10th to 90th $65 to $69
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 $64.57 Median $67.61 Typical High $67.61 | Facility | None | $64.57 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $69.18 | Professional | None | $64.57 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $32.36 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $13.80 | Professional | 53 · Discontinued | $12.88 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.23 Typical High $10.47 | Professional | 55 · Aftercare only | $9.77 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.76 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.46 | $6.76 | $6.92 |
AvMed Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |