How much rates vary
Facilitymedian $13 · 10th to 90th $13 to $20Professionalmedian $20 · 10th to 90th $13 to $20
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 $13.49 Median $13.49 Typical High $19.95 | Facility | None | $13.49 | $13.49 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $19.95 Typical High $19.95 | Professional | None | $13.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $6.76 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.75 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.04 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.35 | $2.00 | $2.00 |