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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $281.84 | Professional | None | $218.78 | $239.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $489.78 | Facility | None | $229.09 | $302.00 | $489.78 |
Highmark BCBS Setting Professional Modifier HH · Mental health + substance use Typical Low $309.03 Median $316.23 Typical High $380.19 | Professional | HH · Mental health + substance use | $309.03 | $316.23 | $380.19 |
United Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Professional | None | $295.12 | $295.12 | $331.13 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier QN · Ambulance by provider Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | QN · Ambulance by provider | $724.44 | $724.44 | $724.44 |
Where West Virginia sits
The same service costs 7.6 times more in Illinois than in Texas. 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· 44th of 51
$269
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.