How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $3Professionalmedian $4 · 10th to 90th $3 to $4
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 $1.12 Median $2.95 Typical High $2.95 | Facility | None | $1.12 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.39 | Professional | None | $2.95 | $2.95 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 41 Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 41 | $2.95 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.80 | Professional | None | $3.63 | $3.63 | $3.80 |