How much rates vary
Facilitymedian $11 · 10th to 90th $10 to $115Professionalmedian $31 · 10th to 90th $11 to $120
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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $16.98 | Professional | None | $10.47 | $10.72 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.37 Typical High $8.51 | Professional | 52 · Reduced service | $5.25 | $5.37 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.58 Typical High $2.51 | Professional | 55 · Aftercare only | $1.58 | $1.58 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.70 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $114.82 | Facility | None | $10.47 | $11.75 | $114.82 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $120.23 Typical High $120.23 | Professional | None | $21.38 | $120.23 | $120.23 |