How much rates vary
Facilitymedian $66 · 10th to 90th $66 to $98Professionalmedian $98 · 10th to 90th $66 to $98
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 $66.07 Median $66.07 Typical High $97.72 | Facility | None | $66.07 | $66.07 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $97.72 | Professional | None | $66.07 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $10.00 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.61 | $9.77 | $9.77 |