How much rates vary
Facilitymedian $512,861 · 10th to 90th $512,861 to $512,861Professionalmedian $512,861 · 10th to 90th $512,861 to $524,807
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 $501,187.23 Median $512,861.38 Typical High $691,830.97 | Facility | None | $501,187.23 | $512,861.38 | $691,830.97 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $524,807.46 | Professional | None | $512,861.38 | $512,861.38 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $263,026.80 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $104,712.85 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $104,712.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $77,624.71 Typical High $79,432.82 | Professional | 55 · Aftercare only | $75,857.76 | $77,624.71 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $52,480.75 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $676,082.98 | Professional | None | $489,778.82 | $489,778.82 | $676,082.98 |