How much rates vary
Facilitymedian $3,715 · 10th to 90th $3,715 to $3,981Professionalmedian $282 · 10th to 90th $257 to $490
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 $3,715.35 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,715.35 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $128.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $25.70 | $26.92 | $26.92 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $489.78 | Professional | None | $251.19 | $338.84 | $489.78 |