How much rates vary
Facilitymedian $45 · 10th to 90th $44 to $45Professionalmedian $45 · 10th to 90th $44 to $45
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 $43.65 Median $44.67 Typical High $44.67 | Facility | None | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | None | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $6.61 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.37 | $4.47 | $4.47 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $44.67 | Facility | None | $43.65 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | None | $43.65 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $9.12 | $9.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $6.61 | $6.76 | $6.76 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.37 | $4.47 | $4.47 |