How much rates vary
Professionalmedian $138 · 10th to 90th $74 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| 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. |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $22.39 | $32.36 |
Medica Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Medica Setting Professional Modifier Global Typical Low $74.13 Median $138.04 Typical High $467.74 | Professional | Global | $74.13 | $138.04 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $125.89 | Professional | 26 · Professional part | $20.42 | $24.55 | $125.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $338.84 | Professional | TC · Technical part | $53.70 | $102.33 | $338.84 |