How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $2
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 $0.22 Median $0.22 Typical High $0.22 | Facility | None | $0.22 | $0.22 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $1.00 | Professional | None | $0.22 | $0.22 | $1.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.32 Median $0.95 Typical High $2.29 | Professional | None | $0.32 | $0.95 | $2.29 |
Anthem BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.35 Median $0.35 Typical High $0.52 | Professional | AU · Urologic/ostomy supply | $0.35 | $0.35 | $0.52 |
Anthem BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.31 Median $0.34 Typical High $0.44 | Professional | AV · With prosthetic/orthotic | $0.31 | $0.34 | $0.44 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.89 Typical High $1.38 | Facility | None | $0.20 | $0.89 | $1.38 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.20 Typical High $0.49 | Professional | None | $0.17 | $0.20 | $0.49 |
DeanCare Setting Facility Modifier None Typical Low $0.20 Median $0.34 Typical High $0.41 | Facility | None | $0.20 | $0.34 | $0.41 |
DeanCare Setting Professional Modifier None Typical Low $0.42 Median $0.48 Typical High $0.48 | Professional | None | $0.42 | $0.48 | $0.48 |
DeanCare Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.42 Median $0.48 Typical High $0.48 | Professional | AU · Urologic/ostomy supply | $0.42 | $0.48 | $0.48 |
DeanCare Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.42 Median $0.48 Typical High $0.48 | Professional | AV · With prosthetic/orthotic | $0.42 | $0.48 | $0.48 |
Medica Setting Facility Modifier None Typical Low $0.20 Median $0.37 Typical High $100.00 | Facility | None | $0.20 | $0.37 | $100.00 |
Medica Setting Professional Modifier None Typical Low $0.14 Median $0.20 Typical High $0.89 | Professional | None | $0.14 | $0.20 | $0.89 |
Network Health Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Network Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.32 Typical High $0.68 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.32 | $0.68 |
Network Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.24 Median $0.30 Typical High $0.65 | Professional | AV · With prosthetic/orthotic | $0.24 | $0.30 | $0.65 |
Prevea360 Setting Facility Modifier None Typical Low $0.20 Median $0.34 Typical High $0.41 | Facility | None | $0.20 | $0.34 | $0.41 |
Prevea360 Setting Professional Modifier None Typical Low $0.19 Median $0.19 Typical High $0.34 | Professional | None | $0.19 | $0.19 | $0.34 |
Quartz Setting Professional Modifier None Typical Low $0.37 Median $0.54 Typical High $0.95 | Professional | None | $0.37 | $0.54 | $0.95 |
Quartz Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.22 | Facility | None | $0.19 | $0.20 | $0.22 |
Quartz Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.20 | Professional | None | $0.17 | $0.17 | $0.20 |
Security Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | AV · With prosthetic/orthotic | $0.33 | $0.33 | $0.33 |
Security Health Setting Professional Modifier None Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | None | $0.54 | $0.54 | $0.54 |
Security Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.35 Median $0.35 Typical High $0.46 | Professional | AU · Urologic/ostomy supply | $0.35 | $0.35 | $0.46 |
Security Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.33 Median $0.33 Typical High $0.43 | Professional | AV · With prosthetic/orthotic | $0.33 | $0.33 | $0.43 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.17 Typical High $0.28 | Professional | None | $0.11 | $0.17 | $0.28 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.13 Median $0.18 Typical High $0.18 | Professional | UE · Used equipment | $0.13 | $0.18 | $0.18 |
Where Wisconsin 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.
Wisconsin· 3rd of 51
$0.34
AR $0.38UT $0.14
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.