How much rates vary
Facilitymedian $44 · 10th to 90th $44 to $44Professionalmedian $44 · 10th to 90th $14 to $44
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 $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $43.65 Typical High $43.65 | Professional | None | $14.13 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $7.08 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $2.82 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $2.09 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $1.41 | $4.37 | $4.37 |