How much rates vary
Facilitymedian $501 · 10th to 90th $316 to $832Professionalmedian $316 · 10th to 90th $151 to $316
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 $316.23 Median $316.23 Typical High $831.76 | Facility | None | $316.23 | $316.23 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $316.23 Typical High $316.23 | Professional | None | $131.83 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $812.83 | Facility | None | $436.52 | $501.19 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Highmark BCBS Setting Professional Modifier HH · Mental health + substance use + QN · Ambulance by provider + SH · Second concurrent infusion Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | HH · Mental health + substance use + QN · Ambulance by provider + SH · Second concurrent infusion | $223.87 | $223.87 | $223.87 |
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 $104.71 Median $104.71 Typical High $794.33 | Facility | QN · Ambulance by provider | $104.71 | $104.71 | $794.33 |