How much rates vary
Facilitymedian $85 · 10th to 90th $85 to $85Professionalmedian $85 · 10th to 90th $85 to $166
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | None | $85.11 | $85.11 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $83.18 | Professional | 52 · Reduced service | $42.66 | $42.66 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $33.11 | Professional | 53 · Discontinued | $16.98 | $16.98 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $25.12 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $16.60 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $16.60 |