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 $7.76 Median $9.77 Typical High $12.88 | Facility | 26 · Professional part | $7.76 | $9.77 | $12.88 |
Aetna Setting Professional Modifier Global Typical Low $35.48 Median $47.86 Typical High $123.03 | Professional | Global | $35.48 | $47.86 | $123.03 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 25 · Same-day visit | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.75 Typical High $36.31 | Professional | 26 · Professional part | $9.33 | $11.75 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $31.62 | $53.70 |
Ambetter Setting Professional Modifier Global Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | Global | $36.31 | $41.69 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $9.33 | $10.96 | $13.80 |
BCBS Setting Professional Modifier Global Typical Low $8.13 Median $28.18 Typical High $53.70 | Professional | Global | $8.13 | $28.18 | $53.70 |
Baylor Scott & White Setting Professional Modifier Global Typical Low $35.48 Median $45.71 Typical High $87.10 | Professional | Global | $35.48 | $45.71 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $13.18 | $13.18 |
Cigna Setting Professional Modifier Global Typical Low $39.81 Median $67.61 Typical High $109.65 | Professional | Global | $39.81 | $67.61 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $10.23 | $15.49 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $52.48 | $85.11 |
Lucent Health Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Lucent Health Setting Professional Modifier Global Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | Global | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | TC · Technical part | $245.47 | $245.47 | $269.15 |
Moda Health Setting Professional Modifier Global Typical Low $48.98 Median $64.57 Typical High $81.28 | Professional | Global | $48.98 | $64.57 | $81.28 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $12.02 | $16.60 | $54.95 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $50.12 | $63.10 |
Molina Setting Professional Modifier Global Typical Low $7.94 Median $32.36 Typical High $33.11 | Professional | Global | $7.94 | $32.36 | $33.11 |
Oscar Health Setting Professional Modifier Global Typical Low $11.22 Median $41.69 Typical High $95.50 | Professional | Global | $11.22 | $41.69 | $95.50 |
Providence Setting Professional Modifier Global Typical Low $39.81 Median $69.18 Typical High $107.15 | Professional | Global | $39.81 | $69.18 | $107.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $10.23 | $15.14 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $51.29 | $83.18 |
United Setting Professional Modifier Global Typical Low $45.71 Median $63.10 Typical High $100.00 | Professional | Global | $45.71 | $63.10 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $14.45 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $48.98 | $77.62 |
Wellpoint Setting Professional Modifier Global Typical Low $32.36 Median $41.69 Typical High $58.88 | Professional | Global | $32.36 | $41.69 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $8.32 | $10.00 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $31.62 | $44.67 |