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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | None | $257.04 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $758.58 | Facility | None | $363.08 | $489.78 | $758.58 |
Highmark BCBS Setting Professional Modifier DH · Ambulance D to H + HH · Mental health + substance use + NH · Ambulance N to H + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | DH · Ambulance D to H + HH · Mental health + substance use + NH · Ambulance N to H + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | QN · Ambulance by provider | $1,047.13 | $1,047.13 | $1,047.13 |
Where West Virginia sits
The same service costs 6.6 times more in Minnesota 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
$282
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.