How much rates vary
Facilitymedian $85 · 10th to 90th $14 to $407Professionalmedian $14 · 10th to 90th $11 to $23
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 $11.22 Median $11.22 Typical High $14.79 | Facility | None | $11.22 | $11.22 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | None | $11.22 | $14.13 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
AmeriHealth Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $407.38 | Facility | None | $151.36 | $239.88 | $407.38 |
AmeriHealth Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
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 $20.89 Median $22.91 Typical High $22.91 | Professional | None | $20.89 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Emblem Health Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $43.65 | Professional | None | $30.90 | $33.88 | $43.65 |
Geisinger Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Geisinger Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $23.44 | Professional | None | $11.48 | $12.30 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $48.98 Median $93.33 Typical High $117.49 | Facility | None | $48.98 | $93.33 | $117.49 |
Independence Blue Cross Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $407.38 | Facility | None | $151.36 | $239.88 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Facility | None | $11.22 | $11.22 | $14.79 |
Martin's Point Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $14.13 | Professional | None | $11.22 | $14.13 | $14.13 |
Oscar Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $33.11 | Professional | None | $15.49 | $15.49 | $33.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.60 Median $74.13 Typical High $128.82 | Facility | None | $16.60 | $74.13 | $128.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | None | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $16.60 | Professional | None | $9.77 | $11.48 | $16.60 |
2 more rates 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 A2 · Dressing, 2 wounds Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | A2 · Dressing, 2 wounds | $17.38 | $17.38 | $17.38 |
Highmark BCBS Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | A1 · Dressing, 1 wound | $17.38 | $17.38 | $17.38 |
Where Pennsylvania 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.
Pennsylvania· 24th of 51
$14.13
HI $27.54UT $9.77
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.