How much rates vary
Facilitymedian $14,125 · 10th to 90th $14,125 to $15,849Professionalmedian $17 · 10th to 90th $17 to $17
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 Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $1.70 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $15,848.93 | Facility | None | $14,125.38 | $14,125.38 | $15,848.93 |