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 $3.31 Median $5.37 Typical High $5.62 | Facility | None | $3.31 | $5.37 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $5.37 Typical High $5.62 | Professional | None | $3.31 | $5.37 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.37 | Professional | None | $3.39 | $3.39 | $4.37 |
AvMed Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $6.03 | Facility | None | $2.24 | $2.24 | $6.03 |
AvMed Setting Professional Modifier None Typical Low $2.24 Median $6.03 Typical High $7.59 | Professional | None | $2.24 | $6.03 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Florida Blue Setting Facility Modifier None Typical Low $5.25 Median $7.24 Typical High $28.18 | Facility | None | $5.25 | $7.24 | $28.18 |
Florida Blue Setting Professional Modifier None Typical Low $2.24 Median $4.47 Typical High $5.62 | Professional | None | $2.24 | $4.47 | $5.62 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $4.79 | Professional | None | $4.37 | $4.79 | $4.79 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $60.26 | Professional | None | $3.16 | $4.47 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $7.59 | Professional | None | $4.37 | $4.37 | $7.59 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | A1 · Dressing, 1 wound | $5.25 | $5.25 | $5.25 |
Where Florida 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.
Florida· 28th of 51
$4.37
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.