How much rates vary
Facilitymedian $15,488 · 10th to 90th $47 to $26,915Professionalmedian $47 · 10th to 90th $46 to $47
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | None | $45.71 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | 55 · Aftercare only | $6.92 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.57 | $4.68 | $4.68 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $15,488.17 Typical High $26,915.35 | Facility | None | $7,762.47 | $15,488.17 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |