How much rates vary
Facilitymedian $79 · 10th to 90th $78 to $79Professionalmedian $79 · 10th to 90th $78 to $79
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 $79.43 | Professional | None | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $7.94 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $79.43 | Facility | None | $77.62 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | None | $77.62 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $38.02 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.49 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.48 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.76 | $7.94 | $7.94 |