How much rates vary
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 $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier None Typical Low $0.19 Median $0.20 Typical High $0.20 | Professional | None | $0.19 | $0.20 | $0.20 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Medica Setting Facility Modifier None Typical Low $0.20 Median $0.27 Typical High $0.40 | Facility | None | $0.20 | $0.27 | $0.40 |
Medica Setting Professional Modifier None Typical Low $0.12 Median $0.20 Typical High $25.12 | Professional | None | $0.12 | $0.20 | $25.12 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.12 Typical High $0.22 | Professional | None | $0.10 | $0.12 | $0.22 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | A1 · Dressing, 1 wound | $25.70 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | AU · Urologic/ostomy supply | $34.67 | $34.67 | $34.67 |
Where Oklahoma sits
The same service costs 2.9 times more in Hawaii than in Utah. 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.
Oklahoma· 43rd of 51
$0.17
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.