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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | None | $13.49 | $13.80 | $13.80 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $14.13 Typical High $30.90 | Facility | None | $13.80 | $14.13 | $30.90 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $114.82 | Professional | None | $8.13 | $14.13 | $114.82 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $14.13 | Professional | None | $6.46 | $8.13 | $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 A3 · Dressing, 3 wounds Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | A3 · Dressing, 3 wounds | $23.44 | $23.44 | $23.44 |
Where Oklahoma 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.
Oklahoma· 35th of 51
$11.75
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.