How much rates vary
Professionalmedian $40 · 10th to 90th $35 to $60
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 |
|---|---|---|---|---|---|
AmeriHealth 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 |
AmeriHealth 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 |
AmeriHealth 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 |
AmeriHealth 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 |
AmeriHealth 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 |
AmeriHealth Setting Professional Modifier SO Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | SO | $75.86 | $75.86 | $186.21 |
AmeriHealth 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 |
United Setting Professional Modifier PP · Ambulance P to P Typical Low $3.02 Median $3.02 Typical High $8.51 | Professional | PP · Ambulance P to P | $3.02 | $3.02 | $8.51 |
4 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 |
|---|---|---|---|---|---|
AmeriHealth Setting Professional Modifier BL · Special blood acquisition Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | BL · Special blood acquisition | $10.00 | $10.00 | $10.00 |
AmeriHealth Setting Professional Modifier IT Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | IT | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None | $34.67 | $39.81 | $60.26 |
United Setting Professional Modifier SW · Diabetes educator Typical Low $3.02 Median $3.98 Typical High $3.98 | Professional | SW · Diabetes educator | $3.02 | $3.98 | $3.98 |