How much rates vary
Facilitymedian $575,440 · 10th to 90th $575,440 to $691,831Professionalmedian $691,831 · 10th to 90th $575,440 to $691,831
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 $691,830.97 Median $691,830.97 Typical High $691,830.97 | Facility | None | $691,830.97 | $691,830.97 | $691,830.97 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $691,830.97 Typical High $691,830.97 | Professional | None | $575,439.94 | $691,830.97 | $691,830.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $346,736.85 Typical High $346,736.85 | Professional | 52 · Reduced service | $288,403.15 | $346,736.85 | $346,736.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $138,038.43 Typical High $138,038.43 | Professional | 53 · Discontinued | $114,815.36 | $138,038.43 | $138,038.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $104,712.85 Typical High $104,712.85 | Professional | 55 · Aftercare only | $87,096.36 | $104,712.85 | $104,712.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $69,183.10 Typical High $69,183.10 | Professional | 56 · Pre-op care only | $57,543.99 | $69,183.10 | $69,183.10 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $645,654.23 | Professional | None | $562,341.33 | $562,341.33 | $645,654.23 |