How much rates vary
Facilitymedian $69 · 10th to 90th $48 to $1,778Professionalmedian $257 · 10th to 90th $48 to $2,042
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 $1,778.28 | Facility | None | $47.86 | $47.86 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $1,202.26 | Professional | None | $47.86 | $47.86 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,621.81 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $2,344.23 | Professional | None | $776.25 | $1,023.29 | $2,344.23 |
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 Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $3,630.78 | Professional | None | $36.31 | $81.28 | $3,630.78 |
Network Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,513.56 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,041.74 | Professional | None | $977.24 | $1,258.93 | $2,041.74 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,548.82 | Professional | None | $776.25 | $933.25 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,122.02 | $1,778.28 | $2,238.72 |
The Alliance Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,995.26 | Professional | None | $616.60 | $1,318.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $37.15 Median $79.43 Typical High $104.71 | Professional | None | $37.15 | $79.43 | $104.71 |
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 $1,122.02 Median $1,122.02 Typical High $2,344.23 | Professional | P1 · Healthy patient | $1,122.02 | $1,122.02 | $2,344.23 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $1,122.02 Median $1,122.02 Typical High $2,344.23 | Professional | P2 · Mild systemic disease | $1,122.02 | $1,122.02 | $2,344.23 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $1,174.90 Median $1,174.90 Typical High $2,511.89 | Professional | P3 · Severe systemic disease | $1,174.90 | $1,174.90 | $2,511.89 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $1,258.93 Median $1,258.93 Typical High $2,630.27 | Professional | P4 · Life-threatening disease | $1,258.93 | $1,258.93 | $2,630.27 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $1,318.26 Median $1,318.26 Typical High $2,818.38 | Professional | P5 · Not expected to survive without surgery | $1,318.26 | $1,318.26 | $2,818.38 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $1,122.02 Median $1,122.02 Typical High $2,344.23 | Professional | P6 · Organ donor | $1,122.02 | $1,122.02 | $2,344.23 |