How much rates vary
Facilitymedian $78 · 10th to 90th $66 to $81Professionalmedian $66 · 10th to 90th $66 to $78
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 $66.07 Median $77.62 Typical High $81.28 | Facility | None | $66.07 | $77.62 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None | $66.07 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $11.48 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $7.76 |