How much rates vary
Facilitymedian $6,918 · 10th to 90th $195 to $16,596Professionalmedian $186 · 10th to 90th $186 to $209
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 $194.98 Median $5,248.07 Typical High $11,748.98 | Facility | None | $194.98 | $5,248.07 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | 54 · Surgery only | $141.25 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $31.62 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $954.99 Median $8,317.64 Typical High $17,378.01 | Facility | None | $954.99 | $8,317.64 | $17,378.01 |