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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $562.34 | Professional | None | $288.40 | $309.03 | $562.34 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $467.74 Typical High $1,258.93 | Facility | None | $218.78 | $467.74 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $295.12 | Professional | None | $102.33 | $131.83 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $562.34 | Professional | None | $288.40 | $295.12 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $660.69 | Professional | None | $331.13 | $562.34 | $660.69 |
United Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $199.53 | Professional | None | $95.50 | $125.89 | $199.53 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | A1 · Dressing, 1 wound | $562.34 | $562.34 | $562.34 |
Where Nebraska 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.
Nebraska· 16th of 51
$209
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.