How much rates vary
Facilitymedian $380 · 10th to 90th $380 to $380Professionalmedian $245 · 10th to 90th $186 to $380
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | None | $380.19 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $42.66 |
United Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $295.12 | Professional | None | $151.36 | $218.78 | $295.12 |