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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $6.61 | Professional | None | $4.79 | $6.03 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.94 Typical High $12.59 | Facility | None | $7.08 | $7.94 | $12.59 |
United Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | None | $8.71 | $8.71 | $10.23 |
2 more rates 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier QN · Ambulance by provider Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | QN · Ambulance by provider | $21.38 | $21.38 | $21.38 |
Highmark BCBS Setting Professional Modifier RH · Ambulance R to H Typical Low $9.12 Median $10.96 Typical High $13.18 | Professional | RH · Ambulance R to H | $9.12 | $10.96 | $13.18 |
Where West Virginia sits
The same service costs 12.9 times more in Texas than in North Carolina. 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.
West Virginia· 49th of 51
$5.25
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.