How much rates vary
Facilitymedian $575,440 · 10th to 90th $575,440 to $588,844Professionalmedian $588,844 · 10th to 90th $575,440 to $602,560
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 $575,439.94 Median $575,439.94 Typical High $794,328.23 | Facility | None | $575,439.94 | $575,439.94 | $794,328.23 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $588,843.66 Typical High $602,559.59 | Professional | None | $575,439.94 | $588,843.66 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $117,489.76 Typical High $120,226.44 | Professional | 53 · Discontinued | $114,815.36 | $117,489.76 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $89,125.09 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $58,884.37 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $58,884.37 | $60,255.96 |
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 $776,247.12 | Professional | None | $562,341.33 | $562,341.33 | $776,247.12 |