How much rates vary
Facilitymedian $65 · 10th to 90th $56 to $69Professionalmedian $56 · 10th to 90th $56 to $65
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 $56.23 Median $64.57 Typical High $69.18 | Facility | None | $56.23 | $64.57 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | None | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 52 · Reduced service | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $12.88 | Professional | 53 · Discontinued | $11.22 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $9.77 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $6.46 |