How much rates vary
Facilitymedian $36 · 10th to 90th $36 to $39Professionalmedian $39 · 10th to 90th $12 to $39
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 $36.31 Median $36.31 Typical High $38.90 | Facility | None | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | None | $36.31 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.37 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.63 | $3.89 | $3.89 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $34.67 | Professional | None | $12.02 | $12.02 | $34.67 |