How much rates vary
Facilitymedian $3,715 · 10th to 90th $170 to $6,310Professionalmedian $162 · 10th to 90th $151 to $1,122
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $977.24 Median $3,715.35 Typical High $7,585.78 | Facility | None | $977.24 | $3,715.35 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Professional | None | $151.36 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $75.86 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 54 · Surgery only | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $17.78 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $218.78 Typical High $5,011.87 | Facility | None | $169.82 | $218.78 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |