Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. 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 $4,365.16 Median $9,772.37 Typical High $16,595.87 | Facility | Global | $4,365.16 | $9,772.37 | $16,595.87 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $316.23 Median $707.95 Typical High $891.25 | Facility | 52 · Reduced service | $316.23 | $707.95 | $891.25 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,238.72 Median $5,623.41 Typical High $16,218.10 | Facility | Global | $2,238.72 | $5,623.41 | $16,218.10 |
Cigna Setting Facility Modifier Global Typical Low $5,011.87 Median $7,244.36 Typical High $10,000.00 | Facility | Global | $5,011.87 | $7,244.36 | $10,000.00 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $616.60 Median $776.25 Typical High $2,344.23 | Professional | Global | $616.60 | $776.25 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier 22 · Increased work Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 22 · Increased work | $1,698.24 | $1,698.24 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Kaiser Permanente Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 80 · Assistant surgeon | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | AS · PA/NP assist | $22.39 | $22.39 | $22.39 |
United Setting Facility Modifier Global Typical Low $1,778.28 Median $7,244.36 Typical High $17,378.01 | Facility | Global | $1,778.28 | $7,244.36 | $17,378.01 |