How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $169.82 Median $169.82 Typical High $223.87 | Facility | None | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $446.68 | Professional | None | $162.18 | $169.82 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $1,230.27 | Professional | None | $141.25 | $239.88 | $1,230.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.62 Median $26.92 Typical High $123.03 | Professional | RR · Rental | $18.62 | $26.92 | $123.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $204.17 Typical High $933.25 | Professional | UE · Used equipment | $141.25 | $204.17 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $363.08 | Professional | None | $134.90 | $134.90 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None | $269.15 | $269.15 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | None | $316.23 | $316.23 | $363.08 |
United Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $478.63 | Professional | None | $89.13 | $131.83 | $478.63 |
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 $309.03 Median $512.86 Typical High $512.86 | Professional | A1 · Dressing, 1 wound | $309.03 | $512.86 | $512.86 |
Where Georgia 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.
Georgia· 12th of 51
$234
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.