How much rates vary
Facilitymedian $447 · 10th to 90th $447 to $447Professionalmedian $234 · 10th to 90th $200 to $447
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | None | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $158.49 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $46.77 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $316.23 | Professional | None | $169.82 | $223.87 | $316.23 |