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 $70.79 Median $77.62 Typical High $81.28 | Facility | None | $70.79 | $77.62 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $117.49 | Professional | None | $75.86 | $81.28 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $436.52 | Facility | None | $85.11 | $107.15 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $295.12 Typical High $389.05 | Professional | None | $114.82 | $295.12 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $562.34 | Facility | None | $223.87 | $363.08 | $562.34 |
Blue Shield Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $1,000.00 | Professional | None | $295.12 | $489.78 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $363.08 | Professional | None | $269.15 | $295.12 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $630.96 | Professional | None | $131.83 | $269.15 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,348.96 | $1,348.96 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $245.47 Typical High $269.15 | Facility | None | $77.62 | $245.47 | $269.15 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $338.84 | Professional | None | $107.15 | $120.23 | $338.84 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | A1 · Dressing, 1 wound | $204.17 | $204.17 | $204.17 |
Where California sits
The same service costs 2.6 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.
California· 43rd of 51
$132
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.