How much rates vary
Facilitymedian $85 · 10th to 90th $68 to $100Professionalmedian $69 · 10th to 90th $68 to $81
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 $67.61 Median $85.11 Typical High $100.00 | Facility | None | $67.61 | $85.11 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.92 |
United Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | None | $69.18 | $81.28 | $81.28 |