How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $81Professionalmedian $81 · 10th to 90th $66 to $81
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | 56 · Pre-op care only | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | None | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $33.11 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.00 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.61 | $8.13 | $8.13 |