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 $173.78 Median $173.78 Typical High $190.55 | Facility | None | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $194.98 | Professional | None | $162.18 | $173.78 | $194.98 |
BCBS Texas Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $758.58 | Facility | None | $213.80 | $275.42 | $758.58 |
BCBS Texas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,348.96 | $2,041.74 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $269.15 | Facility | None | $173.78 | $245.47 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $194.98 | Professional | None | $162.18 | $173.78 | $194.98 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $281.84 | Facility | None | $173.78 | $269.15 | $281.84 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $162.18 | Professional | None | $93.33 | $123.03 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 $134.90 Median $134.90 Typical High $190.55 | Professional | A1 · Dressing, 1 wound | $134.90 | $134.90 | $190.55 |
Where Texas 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.
Texas· 32nd of 51
$145
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.