How much rates vary
Facilitymedian $562,341 · 10th to 90th $562,341 to $676,083Professionalmedian $676,083 · 10th to 90th $562,341 to $676,083
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 $676,082.98 Median $676,082.98 Typical High $676,082.98 | Facility | None | $676,082.98 | $676,082.98 | $676,082.98 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $676,082.98 Typical High $676,082.98 | Professional | None | $562,341.33 | $676,082.98 | $676,082.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $338,844.16 Typical High $338,844.16 | Professional | 52 · Reduced service | $281,838.29 | $338,844.16 | $338,844.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $134,896.29 Typical High $134,896.29 | Professional | 53 · Discontinued | $112,201.85 | $134,896.29 | $134,896.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $102,329.30 Typical High $102,329.30 | Professional | 55 · Aftercare only | $85,113.80 | $102,329.30 | $102,329.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $67,608.30 Typical High $67,608.30 | Professional | 56 · Pre-op care only | $56,234.13 | $67,608.30 | $67,608.30 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $616,595.00 | Professional | None | $537,031.80 | $537,031.80 | $616,595.00 |