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 26 · Professional part Typical Low $10.72 Median $12.02 Typical High $18.62 | Facility | 26 · Professional part | $10.72 | $12.02 | $18.62 |
Aetna Setting Professional Modifier Global Typical Low $36.31 Median $63.10 Typical High $173.78 | Professional | Global | $36.31 | $63.10 | $173.78 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $13.80 Median $125.89 Typical High $125.89 | Professional | 25 · Same-day visit | $13.80 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $39.81 | Professional | 26 · Professional part | $9.55 | $13.80 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $26.30 | $42.66 | $74.13 |
Ambetter Setting Professional Modifier Global Typical Low $36.31 Median $40.74 Typical High $47.86 | Professional | Global | $36.31 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $9.77 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier Global Typical Low $33.88 Median $42.66 Typical High $114.82 | Professional | Global | $33.88 | $42.66 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $22.91 | Professional | 26 · Professional part | $8.32 | $10.23 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $31.62 | $83.18 |
CDPHP Setting Professional Modifier Global Typical Low $14.79 Median $50.12 Typical High $64.57 | Professional | Global | $14.79 | $50.12 | $64.57 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.63 Median $12.30 Typical High $17.38 | Facility | 26 · Professional part | $2.63 | $12.30 | $17.38 |
Cigna Setting Professional Modifier Global Typical Low $44.67 Median $77.62 Typical High $181.97 | Professional | Global | $44.67 | $77.62 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $37.15 | Professional | 26 · Professional part | $11.22 | $18.20 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $60.26 | $131.83 |
Emblem Health Setting Professional Modifier Global Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | Global | $50.12 | $64.57 | $91.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.49 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $15.49 | $24.55 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $51.29 | $72.44 |
Excellus BCBS Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 26 · Professional part | $9.55 | $9.55 | $9.55 |
Excellus BCBS Setting Professional Modifier Global Typical Low $30.20 Median $48.98 Typical High $81.28 | Professional | Global | $30.20 | $48.98 | $81.28 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $12.59 | $21.38 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $35.48 | $60.26 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $11.22 | $16.60 |
Highmark BCBS Setting Professional Modifier Global Typical Low $41.69 Median $61.66 Typical High $93.33 | Professional | Global | $41.69 | $61.66 | $93.33 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $14.13 | $24.55 |
MVP Health Care Setting Professional Modifier Global Typical Low $63.10 Median $81.28 Typical High $131.83 | Professional | Global | $63.10 | $81.28 | $131.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $17.78 | $26.92 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $61.66 | $87.10 |
United Setting Professional Modifier Global Typical Low $46.77 Median $66.07 Typical High $436.52 | Professional | Global | $46.77 | $66.07 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $138.04 | Professional | 26 · Professional part | $11.22 | $16.22 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $302.00 | Professional | TC · Technical part | $35.48 | $50.12 | $302.00 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $57.54 | Facility | 26 · Professional part | $8.32 | $12.59 | $57.54 |
Univera Setting Professional Modifier Global Typical Low $31.62 Median $48.98 Typical High $97.72 | Professional | Global | $31.62 | $48.98 | $97.72 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $8.32 | $12.59 | $25.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $35.48 | $72.44 |