How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $115Professionalmedian $115 · 10th to 90th $79 to $115
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 $79.43 Median $79.43 Typical High $114.82 | Facility | None | $79.43 | $79.43 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $114.82 | Professional | None | $79.43 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $11.75 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.94 | $11.48 | $11.48 |