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 $562.34 | Facility | None | $169.82 | $169.82 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $269.15 | Professional | None | $154.88 | $169.82 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $218.78 | Professional | None | $83.18 | $114.82 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $85.11 Typical High $114.82 | Professional | UE · Used equipment | $72.44 | $85.11 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None | $346.74 | $346.74 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $281.84 | Professional | None | $138.04 | $190.55 | $281.84 |
SummaCare Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $371.54 | Professional | None | $229.09 | $269.15 | $371.54 |
United Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $162.18 | Professional | None | $89.13 | $131.83 | $162.18 |
2 more rates 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 $190.55 Median $190.55 Typical High $190.55 | Professional | A1 · Dressing, 1 wound | $190.55 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | RR · Rental | $11.48 | $11.48 | $18.62 |
Where Ohio 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.
Ohio· 40th of 51
$135
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.