How much rates vary
Facilitymedian $512,861 · 10th to 90th $512,861 to $537,032Professionalmedian $616,595 · 10th to 90th $512,861 to $616,595
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 $537,031.80 Median $537,031.80 Typical High $616,595.00 | Facility | None | $537,031.80 | $537,031.80 | $616,595.00 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $616,595.00 Typical High $616,595.00 | Professional | None | $512,861.38 | $616,595.00 | $616,595.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $309,029.54 Typical High $309,029.54 | Professional | 52 · Reduced service | $257,039.58 | $309,029.54 | $309,029.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $123,026.88 Typical High $123,026.88 | Professional | 53 · Discontinued | $102,329.30 | $123,026.88 | $123,026.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $91,201.08 Typical High $91,201.08 | Professional | 55 · Aftercare only | $75,857.76 | $91,201.08 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $61,659.50 Typical High $61,659.50 | Professional | 56 · Pre-op care only | $51,286.14 | $61,659.50 | $61,659.50 |
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 $524,807.46 | Professional | None | $489,778.82 | $489,778.82 | $524,807.46 |