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 $0.28 Median $0.28 Typical High $0.28 | Facility | None | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.28 Typical High $0.30 | Professional | None | $0.21 | $0.28 | $0.30 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.19 Typical High $0.22 | Facility | None | $0.19 | $0.19 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.39 Typical High $0.47 | Professional | None | $0.20 | $0.39 | $0.47 |
Cigna Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.39 Median $0.44 Typical High $0.44 | Professional | AV · With prosthetic/orthotic | $0.39 | $0.44 | $0.44 |
Hally Health Setting Professional Modifier None Typical Low $0.32 Median $0.34 Typical High $0.98 | Professional | None | $0.32 | $0.34 | $0.98 |
Medica Setting Facility Modifier None Typical Low $0.25 Median $0.38 Typical High $100.00 | Facility | None | $0.25 | $0.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $0.17 Median $0.30 Typical High $0.89 | Professional | None | $0.17 | $0.30 | $0.89 |
Midlands Setting Professional Modifier None Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | None | $0.46 | $0.46 | $0.46 |
Midlands Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.36 Median $0.44 Typical High $0.46 | Professional | AV · With prosthetic/orthotic | $0.36 | $0.44 | $0.46 |
Midlands Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
United Setting Professional Modifier None Typical Low $0.14 Median $0.17 Typical High $0.30 | Professional | None | $0.14 | $0.17 | $0.30 |
Wellmark Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.39 Median $0.39 Typical High $0.46 | Professional | AU · Urologic/ostomy supply | $0.39 | $0.39 | $0.46 |
Midlands Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.37 Median $0.39 Typical High $0.91 | Professional | AU · Urologic/ostomy supply | $0.37 | $0.39 | $0.91 |
Where Iowa sits
The same service costs 2.7 times more in Arkansas 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.
Iowa· 12th of 51
$0.28
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.