How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $550Professionalmedian $380 · 10th to 90th $48 to $676
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 $47.86 Median $47.86 Typical High $549.54 | Facility | None | $47.86 | $47.86 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $380.19 | Professional | None | $47.86 | $47.86 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $57.54 | Professional | 53 · Discontinued | $9.55 | $9.55 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $691.83 | Professional | None | $398.11 | $524.81 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $645.65 | Professional | None | $208.93 | $269.15 | $645.65 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $120.23 | Facility | None | $60.26 | $74.13 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $87.10 | Professional | None | $41.69 | $41.69 | $87.10 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $154.88 Typical High $380.19 | Facility | None | $22.91 | $154.88 | $380.19 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $120.23 Typical High $891.25 | Professional | None | $8.71 | $120.23 | $891.25 |
Network Health Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $575.44 | Professional | None | $398.11 | $478.63 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $645.65 | Professional | None | $309.03 | $389.05 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $416.87 | Professional | None | $208.93 | $251.19 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $562.34 | Professional | None | $281.84 | $446.68 | $562.34 |
The Alliance Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $380.19 | Professional | None | $123.03 | $263.03 | $380.19 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | AD · Supervising 5+ | $208.93 | $338.84 | $416.87 |
Security Health Setting Professional Modifier P1 · Healthy patient Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P1 · Healthy patient | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P2 · Mild systemic disease | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | P3 · Severe systemic disease | $346.74 | $346.74 | $741.31 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $416.87 Median $416.87 Typical High $891.25 | Professional | P4 · Life-threatening disease | $416.87 | $416.87 | $891.25 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Professional | P5 · Not expected to survive without surgery | $489.78 | $489.78 | $1,023.29 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P6 · Organ donor | $281.84 | $281.84 | $588.84 |