How much rates vary
Facilitymedian $79 · 10th to 90th $78 to $79Professionalmedian $79 · 10th to 90th $78 to $81
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 $77.62 Median $79.43 Typical High $79.43 | Facility | None | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | None | $77.62 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $15.49 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $8.13 |
AvMed Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |