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 $131.83 Median $131.83 Typical High $162.18 | Facility | None | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $263.03 | Professional | None | $239.88 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $501.19 | Professional | None | $354.81 | $389.05 | $501.19 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $162.18 Typical High $269.15 | Professional | None | $154.88 | $162.18 | $269.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $380.19 Typical High $380.19 | Professional | None | $123.03 | $380.19 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $870.96 Typical High $1,479.11 | Facility | None | $190.55 | $870.96 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None | $190.55 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $190.55 | Professional | None | $112.20 | $131.83 | $190.55 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | A1 · Dressing, 1 wound | $190.55 | $190.55 | $190.55 |
Where Pennsylvania 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.
Pennsylvania· 25th of 51
$162
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.