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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $229.09 | Professional | None | $147.91 | $229.09 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $218.78 | Facility | None | $114.82 | $114.82 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $269.15 | Professional | None | $114.82 | $114.82 | $269.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | RR · Rental | $11.48 | $11.48 | $15.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | UE · Used equipment | $85.11 | $85.11 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Facility | None | $389.05 | $389.05 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $1,318.26 | Professional | None | $134.90 | $134.90 | $1,318.26 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $2,187.76 | Facility | None | $812.83 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $380.19 | Professional | None | $162.18 | $199.53 | $380.19 |
United Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $208.93 | Professional | None | $75.86 | $131.83 | $208.93 |
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 Indiana 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.
Indiana· 46th 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.