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 $933.25 Median $5,128.61 Typical High $15,135.61 | Facility | Global | $933.25 | $5,128.61 | $15,135.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $181.97 Typical High $954.99 | Facility | 52 · Reduced service | $89.13 | $181.97 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $104.71 Typical High $389.05 | Facility | 53 · Discontinued | $43.65 | $104.71 | $389.05 |
Aetna Setting Professional Modifier Global Typical Low $173.78 Median $288.40 Typical High $1,096.48 | Professional | Global | $173.78 | $288.40 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $93.33 Typical High $346.74 | Professional | 53 · Discontinued | $38.90 | $93.33 | $346.74 |
Ambetter Setting Professional Modifier Global Typical Low $154.88 Median $173.78 Typical High $295.12 | Professional | Global | $154.88 | $173.78 | $295.12 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $138.04 | Professional | 53 · Discontinued | $81.28 | $85.11 | $138.04 |
Anthem BCBS Setting Facility Modifier Global Typical Low $3,388.44 Median $5,888.44 Typical High $13,489.63 | Facility | Global | $3,388.44 | $5,888.44 | $13,489.63 |
Anthem BCBS Setting Professional Modifier Global Typical Low $223.87 Median $407.38 Typical High $794.33 | Professional | Global | $223.87 | $407.38 | $794.33 |
Anthem BCBS Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $169.82 Typical High $323.59 | Professional | 53 · Discontinued | $87.10 | $169.82 | $323.59 |
Blue Shield Setting Facility Modifier Global Typical Low $75.86 Median $1,096.48 Typical High $2,398.83 | Facility | Global | $75.86 | $1,096.48 | $2,398.83 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $281.84 Typical High $707.95 | Professional | Global | $100.00 | $281.84 | $707.95 |
Blue Shield Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $302.00 Typical High $933.25 | Professional | 53 · Discontinued | $100.00 | $302.00 | $933.25 |
Cigna Setting Facility Modifier Global Typical Low $575.44 Median $724.44 Typical High $1,659.59 | Facility | Global | $575.44 | $724.44 | $1,659.59 |
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | Global | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $123.03 Typical High $190.55 | Professional | 53 · Discontinued | $75.86 | $123.03 | $190.55 |
Contra Costa Health Setting Professional Modifier Global Typical Low $186.21 Median $489.78 Typical High $660.69 | Professional | Global | $186.21 | $489.78 | $660.69 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $165.96 Median $371.54 Typical High $707.95 | Professional | Global | $165.96 | $371.54 | $707.95 |
Kaiser Permanente Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $186.21 Typical High $346.74 | Professional | 53 · Discontinued | $83.18 | $186.21 | $346.74 |
Lucent Health Setting Facility Modifier Global Typical Low $2,884.03 Median $2,884.03 Typical High $28,840.32 | Facility | Global | $2,884.03 | $2,884.03 | $28,840.32 |
Lucent Health Setting Facility Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Lucent Health Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier Global Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | Global | $2,187.76 | $2,818.38 | $2,818.38 |
Lucent Health Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $251.19 | Professional | 53 · Discontinued | $120.23 | $120.23 | $251.19 |
Molina Setting Professional Modifier Global Typical Low $208.93 Median $208.93 Typical High $346.74 | Professional | Global | $208.93 | $208.93 | $346.74 |
Optum Setting Professional Modifier Global Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | Global | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier Global Typical Low $181.97 Median $338.84 Typical High $630.96 | Facility | Global | $181.97 | $338.84 | $630.96 |
Providence Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | Global | $302.00 | $302.00 | $812.83 |
Providence Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $123.03 Typical High $269.15 | Professional | 53 · Discontinued | $107.15 | $123.03 | $269.15 |
Sutter Health Plus Setting Facility Modifier Global Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | Global | $1,621.81 | $1,621.81 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $602.56 Median $602.56 Typical High $1,096.48 | Professional | Global | $602.56 | $602.56 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $549.54 | Professional | 53 · Discontinued | $302.00 | $302.00 | $549.54 |
United Setting Facility Modifier Global Typical Low $1,202.26 Median $2,818.38 Typical High $7,585.78 | Facility | Global | $1,202.26 | $2,818.38 | $7,585.78 |
United Setting Professional Modifier Global Typical Low $169.82 Median $309.03 Typical High $616.60 | Professional | Global | $169.82 | $309.03 | $616.60 |
United Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $173.78 Typical High $295.12 | Professional | 53 · Discontinued | $100.00 | $173.78 | $295.12 |