How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.68 | Facility | None | $4.37 | $4.37 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $12.02 | Professional | None | $4.37 | $4.68 | $12.02 |
BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $18.20 | Professional | None | $4.57 | $4.57 | $18.20 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $8.13 | Professional | None | $6.17 | $7.59 | $8.13 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier PH · Ambulance P to H Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | PH · Ambulance P to H | $10.96 | $10.96 | $10.96 |
Where Mississippi sits
The same service costs 12.9 times more in Texas than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 10th of 51
$17.38
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.