How much rates vary
Facilitymedian $17 · 10th to 90th $14 to $21Professionalmedian $14 · 10th to 90th $14 to $14
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 $13.80 Median $17.38 Typical High $20.89 | Facility | None | $13.80 | $17.38 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | None | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.82 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.14 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.41 |