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 $13.18 Median $16.22 Typical High $16.22 | Facility | None | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $17.38 | Professional | None | $13.18 | $16.22 | $17.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $48.98 | Facility | None | $19.95 | $34.67 | $48.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Christus Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $14.13 | Professional | None | $6.46 | $10.96 | $14.13 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | A1 · Dressing, 1 wound | $20.42 | $20.42 | $20.42 |
Where Louisiana 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.
Louisiana· 29th of 51
$13.18
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.