How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $2,455Professionalmedian $0 · 10th to 90th $0 to $0
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $0.27 Median $0.27 Typical High $0.28 | Facility | None | $0.27 | $0.27 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.28 | Professional | None | $0.27 | $0.27 | $0.28 |
Aetna Setting Professional Modifier AW · With surgical dressing Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | AW · With surgical dressing | $0.04 | $0.04 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | None | $0.05 | $0.05 | $0.05 |
CareFirst Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Cigna Setting Facility Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | None | $0.07 | $0.07 | $0.07 |
Cigna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.33 Median $0.39 Typical High $0.62 | Professional | None | $0.33 | $0.39 | $0.62 |
Kaiser Permanente Setting Professional Modifier AW · With surgical dressing Typical Low $0.12 Median $0.15 Typical High $0.22 | Professional | AW · With surgical dressing | $0.12 | $0.15 | $0.22 |
Medcost Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | None | $0.12 | $0.12 | $0.13 |
Medcost Setting Professional Modifier AW · With surgical dressing Typical Low $0.11 Median $0.11 Typical High $0.15 | Professional | AW · With surgical dressing | $0.11 | $0.11 | $0.15 |
Medcost Setting Facility Modifier None Typical Low $0.27 Median $0.41 Typical High $0.50 | Facility | None | $0.27 | $0.41 | $0.50 |
Medcost Setting Professional Modifier None Typical Low $0.25 Median $0.25 Typical High $0.33 | Professional | None | $0.25 | $0.25 | $0.33 |
Sentara Setting Facility Modifier None Typical Low $0.08 Median $0.16 Typical High $2,454.71 | Facility | None | $0.08 | $0.16 | $2,454.71 |
Sentara Setting Professional Modifier None Typical Low $0.08 Median $0.10 Typical High $0.27 | Professional | None | $0.08 | $0.10 | $0.27 |
Sentara Setting Professional Modifier AW · With surgical dressing Typical Low $0.08 Median $0.12 Typical High $0.19 | Professional | AW · With surgical dressing | $0.08 | $0.12 | $0.19 |
United Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.12 | Professional | None | $0.07 | $0.07 | $0.12 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Kaiser Permanente Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.09 Median $0.11 Typical High $0.16 | Professional | AU · Urologic/ostomy supply | $0.09 | $0.11 | $0.16 |
Kaiser Permanente Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.09 Median $0.11 Typical High $0.16 | Professional | AV · With prosthetic/orthotic | $0.09 | $0.11 | $0.16 |
Medcost Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.13 Median $8.91 Typical High $8.91 | Professional | AU · Urologic/ostomy supply | $0.13 | $8.91 | $8.91 |
Medcost Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.13 Median $8.91 Typical High $8.91 | Professional | AV · With prosthetic/orthotic | $0.13 | $8.91 | $8.91 |
Sentara Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.06 Median $0.09 Typical High $0.14 | Professional | AU · Urologic/ostomy supply | $0.06 | $0.09 | $0.14 |
Sentara Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.06 Median $0.09 Typical High $0.14 | Professional | AV · With prosthetic/orthotic | $0.06 | $0.09 | $0.14 |
Where Virginia sits
The same service costs 6.0 times more in Minnesota than in Wyoming. 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.
Virginia· 37th of 51
$0.07
MN $0.36WY $0.06
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.