Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $707.95 Median $9,120.11 Typical High $16,595.87 | Facility | Global | $707.95 | $9,120.11 | $16,595.87 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $16,595.87 Median $20,417.38 Typical High $25,118.86 | Facility | 50 · Both sides | $16,595.87 | $20,417.38 | $25,118.86 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $2,818.38 Typical High $5,754.40 | Professional | 50 · Both sides | $851.14 | $2,818.38 | $5,754.40 |
Anthem BCBS Setting Facility Modifier Global Typical Low $6,606.93 Median $11,220.18 Typical High $18,197.01 | Facility | Global | $6,606.93 | $11,220.18 | $18,197.01 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $812.83 Median $3,311.31 Typical High $12,022.64 | Professional | 50 · Both sides | $812.83 | $3,311.31 | $12,022.64 |
CareSource Setting Facility Modifier Global Typical Low $478.63 Median $478.63 Typical High $645.65 | Facility | Global | $478.63 | $478.63 | $645.65 |
Cigna Setting Facility Modifier Global Typical Low $5,370.32 Median $6,309.57 Typical High $10,232.93 | Facility | Global | $5,370.32 | $6,309.57 | $10,232.93 |
DeanCare Setting Facility Modifier Global Typical Low $407.38 Median $2,344.23 Typical High $4,168.69 | Facility | Global | $407.38 | $2,344.23 | $4,168.69 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,778.28 Typical High $8,317.64 | Professional | 50 · Both sides | $1,000.00 | $1,778.28 | $8,317.64 |
Medica Setting Facility Modifier Global Typical Low $407.38 Median $2,454.71 Typical High $14,125.38 | Facility | Global | $407.38 | $2,454.71 | $14,125.38 |
Medica Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | 50 · Both sides | $13,489.63 | $13,489.63 | $13,489.63 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | 50 · Both sides | $12,589.25 | $12,589.25 | $12,589.25 |
Network Health Setting Facility Modifier Global Typical Low $676.08 Median $10,715.19 Typical High $17,378.01 | Facility | Global | $676.08 | $10,715.19 | $17,378.01 |
Prevea360 Setting Facility Modifier Global Typical Low $380.19 Median $1,819.70 Typical High $3,801.89 | Facility | Global | $380.19 | $1,819.70 | $3,801.89 |
Quartz Setting Professional Modifier Global Typical Low $645.65 Median $2,511.89 Typical High $7,943.28 | Professional | Global | $645.65 | $2,511.89 | $7,943.28 |
Quartz Setting Facility Modifier Global Typical Low $794.33 Median $11,481.54 Typical High $11,481.54 | Facility | Global | $794.33 | $11,481.54 | $11,481.54 |
Security Health Setting Professional Modifier Global Typical Low $1,737.80 Median $1,737.80 Typical High $10,715.19 | Professional | Global | $1,737.80 | $1,737.80 | $10,715.19 |
United Setting Facility Modifier Global Typical Low $5,754.40 Median $13,182.57 Typical High $16,595.87 | Facility | Global | $5,754.40 | $13,182.57 | $16,595.87 |