How much rates vary
Professionalmedian $34 · 10th to 90th $34 to $100
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 $2.00 Median $5.01 Typical High $8.51 | Professional | PP · Ambulance P to P | $2.00 | $5.01 | $8.51 |
United Setting Professional Modifier SW · Diabetes educator Typical Low $3.02 Median $3.02 Typical High $3.98 | Professional | SW · Diabetes educator | $3.02 | $3.02 | $3.98 |
9 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 $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $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 |
Oscar Health Setting Professional Modifier EP · Child screening program Typical Low $14.13 Median $14.13 Typical High $21.88 | Professional | EP · Child screening program | $14.13 | $14.13 | $21.88 |
Oscar Health Setting Professional Modifier HL · Intern Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | HL · Intern | $63.10 | $63.10 | $70.79 |
Oscar Health Setting Professional Modifier RD · Drug supplied, not given Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | RD · Drug supplied, not given | $48.98 | $48.98 | $66.07 |
Oscar Health Setting Professional Modifier RE · Under FDA safety program Typical Low $14.13 Median $14.13 Typical High $23.99 | Professional | RE · Under FDA safety program | $14.13 | $14.13 | $23.99 |
Oscar Health Setting Professional Modifier RP · Ambulance R to P Typical Low $6.03 Median $6.03 Typical High $15.85 | Professional | RP · Ambulance R to P | $6.03 | $6.03 | $15.85 |
Oscar Health Setting Professional Modifier SO Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | SO | $75.86 | $75.86 | $186.21 |
Oscar Health Setting Professional Modifier SP · Ambulance S to P Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | SP · Ambulance S to P | $169.82 | $169.82 | $204.17 |