How much rates vary
Facilitymedian $162 · 10th to 90th $162 to $162Professionalmedian $162 · 10th to 90th $135 to $162
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | None | $134.90 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $120.23 Typical High $120.23 | Professional | 54 · Surgery only | $100.00 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $19.95 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $13.49 | $16.22 | $16.22 |