How much rates vary
Facilitymedian $100 · 10th to 90th $89 to $100Professionalmedian $1 · 10th to 90th $1 to $34
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier PP · Ambulance P to P Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | PP · Ambulance P to P | $7.94 | $7.94 | $7.94 |
United Setting Professional Modifier SW · Diabetes educator Typical Low $2.00 Median $2.00 Typical High $3.98 | Professional | SW · Diabetes educator | $2.00 | $2.00 | $3.98 |
3 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | None | $0.51 | $0.51 | $0.51 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $100.00 | Facility | None | $89.13 | $100.00 | $100.00 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |