How much rates vary
Facilitymedian $69 · 10th to 90th $48 to $776Professionalmedian $245 · 10th to 90th $48 to $891
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 $776.25 | Facility | None | $47.86 | $47.86 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $537.03 | Professional | None | $47.86 | $47.86 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $977.24 | Professional | None | $457.09 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $933.25 | Professional | None | $309.03 | $407.38 | $933.25 |
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 $1,584.89 | Professional | None | $36.31 | $81.28 | $1,584.89 |
Network Health Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $812.83 | Professional | None | $562.34 | $660.69 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $891.25 | Professional | None | $426.58 | $549.54 | $891.25 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $616.60 | Professional | None | $309.03 | $371.54 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $977.24 | Professional | None | $489.78 | $776.25 | $977.24 |
The Alliance Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $812.83 | Professional | None | $245.47 | $524.81 | $812.83 |
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 $489.78 Median $489.78 Typical High $1,023.29 | Professional | P1 · Healthy patient | $489.78 | $489.78 | $1,023.29 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Professional | P2 · Mild systemic disease | $489.78 | $489.78 | $1,023.29 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $562.34 Median $562.34 Typical High $1,174.90 | Professional | P3 · Severe systemic disease | $562.34 | $562.34 | $1,174.90 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $630.96 Median $630.96 Typical High $1,318.26 | Professional | P4 · Life-threatening disease | $630.96 | $630.96 | $1,318.26 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $691.83 Median $691.83 Typical High $1,479.11 | Professional | P5 · Not expected to survive without surgery | $691.83 | $691.83 | $1,479.11 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Professional | P6 · Organ donor | $489.78 | $489.78 | $1,023.29 |