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 $1,000.00 Median $4,073.80 Typical High $12,882.50 | Facility | Global | $1,000.00 | $4,073.80 | $12,882.50 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $10,471.29 Typical High $38,018.94 | Facility | 50 · Both sides | $10,471.29 | $10,471.29 | $38,018.94 |
Aetna Setting Professional Modifier Global Typical Low $724.44 Median $1,023.29 Typical High $2,041.74 | Professional | Global | $724.44 | $1,023.29 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $977.24 Typical High $1,071.52 | Professional | 54 · Surgery only | $602.56 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $223.87 Typical High $831.76 | Professional | 55 · Aftercare only | $69.18 | $223.87 | $831.76 |
Ambetter Setting Professional Modifier Global Typical Low $616.60 Median $691.83 Typical High $776.25 | Professional | Global | $616.60 | $691.83 | $776.25 |
BCBS Setting Facility Modifier Global Typical Low $1,905.46 Median $3,162.28 Typical High $6,456.54 | Facility | Global | $1,905.46 | $3,162.28 | $6,456.54 |
BCBS Setting Professional Modifier Global Typical Low $537.03 Median $676.08 Typical High $1,122.02 | Professional | Global | $537.03 | $676.08 | $1,122.02 |
Baylor Scott & White Setting Facility Modifier Global Typical Low $933.25 Median $2,454.71 Typical High $6,165.95 | Facility | Global | $933.25 | $2,454.71 | $6,165.95 |
Baylor Scott & White Setting Professional Modifier Global Typical Low $416.87 Median $831.76 Typical High $1,174.90 | Professional | Global | $416.87 | $831.76 | $1,174.90 |
Christus Setting Facility Modifier Global Typical Low $616.60 Median $1,737.80 Typical High $1,737.80 | Facility | Global | $616.60 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier Global Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Facility | Global | $1,479.11 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier Global Typical Low $758.58 Median $1,000.00 Typical High $1,698.24 | Professional | Global | $758.58 | $1,000.00 | $1,698.24 |
Lucent Health Setting Facility Modifier Global Typical Low $7,079.46 Median $33,884.42 Typical High $33,884.42 | Facility | Global | $7,079.46 | $33,884.42 | $33,884.42 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | 54 · Surgery only | $4,897.79 | $4,897.79 | $4,897.79 |
Lucent Health Setting Facility Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 55 · Aftercare only | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier Global Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | Global | $6,918.31 | $6,918.31 | $6,918.31 |
Moda Health Setting Facility Modifier Global Typical Low $741.31 Median $1,412.54 Typical High $7,413.10 | Facility | Global | $741.31 | $1,412.54 | $7,413.10 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $10,471.29 Typical High $38,018.94 | Facility | 50 · Both sides | $10,471.29 | $10,471.29 | $38,018.94 |
Moda Health Setting Professional Modifier Global Typical Low $741.31 Median $954.99 Typical High $1,778.28 | Professional | Global | $741.31 | $954.99 | $1,778.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $1,071.52 Typical High $3,890.45 | Professional | 54 · Surgery only | $602.56 | $1,071.52 | $3,890.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $223.87 Typical High $831.76 | Professional | 55 · Aftercare only | $69.18 | $223.87 | $831.76 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $1,819.70 | Professional | Global | $32.36 | $33.11 | $1,819.70 |
Oscar Health Setting Facility Modifier Global Typical Low $5,370.32 Median $5,495.41 Typical High $5,495.41 | Facility | Global | $5,370.32 | $5,495.41 | $5,495.41 |
Oscar Health Setting Professional Modifier Global Typical Low $616.60 Median $1,096.48 Typical High $1,412.54 | Professional | Global | $616.60 | $1,096.48 | $1,412.54 |
Providence Setting Facility Modifier Global Typical Low $676.08 Median $1,047.13 Typical High $1,819.70 | Facility | Global | $676.08 | $1,047.13 | $1,819.70 |
Providence Setting Professional Modifier Global Typical Low $741.31 Median $1,000.00 Typical High $1,698.24 | Professional | Global | $741.31 | $1,000.00 | $1,698.24 |
United Setting Facility Modifier Global Typical Low $1,380.38 Median $3,467.37 Typical High $7,244.36 | Facility | Global | $1,380.38 | $3,467.37 | $7,244.36 |
United Setting Professional Modifier Global Typical Low $616.60 Median $870.96 Typical High $1,348.96 | Professional | Global | $616.60 | $870.96 | $1,348.96 |
Wellpoint Setting Professional Modifier Global Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | Global | $616.60 | $645.65 | $645.65 |