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 $4.79 Median $5.75 Typical High $10.47 | Facility | None | $4.79 | $5.75 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.75 Typical High $8.71 | Professional | None | $4.79 | $5.75 | $8.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $13.49 Median $22.91 Typical High $89.13 | Facility | None | $13.49 | $22.91 | $89.13 |
BCBS Illinois Setting Professional Modifier None Typical Low $4.90 Median $7.94 Typical High $7.94 | Professional | None | $4.90 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Hally Health Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $25.12 | Professional | None | $8.71 | $10.96 | $25.12 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.13 Typical High $12.59 | Professional | None | $4.37 | $5.13 | $12.59 |
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 $7.41 Median $7.94 Typical High $10.47 | Professional | A1 · Dressing, 1 wound | $7.41 | $7.94 | $10.47 |
Where Illinois sits
The same service costs 2.8 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.
Illinois· 32nd of 51
$5.75
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.