How much rates vary
Facilitymedian $14 · 10th to 90th $14 to $25Professionalmedian $14 · 10th to 90th $14 to $120
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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | None | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $2.63 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.78 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $43.65 | Facility | None | $14.45 | $14.45 | $43.65 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |