How much rates vary
Facilitymedian $69 · 10th to 90th $48 to $447Professionalmedian $123 · 10th to 90th $45 to $468
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 $446.68 | Facility | None | $47.86 | $47.86 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $302.00 | Professional | None | $47.86 | $47.86 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $537.03 | Professional | None | $346.74 | $363.08 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $489.78 | Professional | None | $154.88 | $204.17 | $489.78 |
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 $30.20 Median $81.28 Typical High $891.25 | Professional | None | $30.20 | $81.28 | $891.25 |
Network Health Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $457.09 | Professional | None | $323.59 | $380.19 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $512.86 | Professional | None | $245.47 | $316.23 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | None | $154.88 | $186.21 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $416.87 | Professional | None | $208.93 | $338.84 | $416.87 |
The Alliance Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $269.15 | Professional | None | $81.28 | $165.96 | $269.15 |
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 $208.93 Median $208.93 Typical High $446.68 | Professional | P1 · Healthy patient | $208.93 | $208.93 | $446.68 |
Security Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | P2 · Mild systemic disease | $208.93 | $208.93 | $446.68 |
Security Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $281.84 Median $281.84 Typical High $588.84 | Professional | P3 · Severe systemic disease | $281.84 | $281.84 | $588.84 |
Security Health Setting Professional Modifier P4 · Life-threatening disease Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | P4 · Life-threatening disease | $346.74 | $346.74 | $741.31 |
Security Health Setting Professional Modifier P5 · Not expected to survive without surgery Typical Low $416.87 Median $416.87 Typical High $891.25 | Professional | P5 · Not expected to survive without surgery | $416.87 | $416.87 | $891.25 |
Security Health Setting Professional Modifier P6 · Organ donor Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | P6 · Organ donor | $208.93 | $208.93 | $446.68 |