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 $3.16 Median $6.76 Typical High $7.41 | Facility | None | $3.16 | $6.76 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $7.41 | Professional | None | $3.16 | $4.47 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $6.31 | Professional | None | $3.31 | $5.01 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.45 Median $3.02 Typical High $5.25 | Professional | UE · Used equipment | $2.45 | $3.02 | $5.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $7.59 | Professional | None | $4.47 | $4.47 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $14.79 Typical High $79.43 | Facility | None | $4.07 | $14.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $36.31 | Professional | None | $2.63 | $3.72 | $36.31 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.63 Typical High $6.03 | Professional | None | $2.45 | $3.63 | $6.03 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | A1 · Dressing, 1 wound | $5.62 | $5.62 | $5.62 |
Where Missouri 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.
Missouri· 27th of 51
$4.47
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.