How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.68 Median $6.17 Typical High $15.85 | Facility | None | $4.68 | $6.17 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.41 | Professional | None | $4.68 | $4.68 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $4.47 Typical High $10.47 | Professional | None | $2.57 | $4.47 | $10.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.69 Median $3.02 Typical High $3.72 | Professional | UE · Used equipment | $2.69 | $3.02 | $3.72 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $10.00 | Professional | None | $9.55 | $9.55 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Facility | None | $25.70 | $25.70 | $34.67 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Molina Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $8.71 | Professional | None | $4.27 | $5.75 | $8.71 |
SummaCare Setting Professional Modifier None Typical Low $6.46 Median $7.59 Typical High $10.23 | Professional | None | $6.46 | $7.59 | $10.23 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.63 Typical High $4.47 | Professional | None | $2.45 | $3.63 | $4.47 |
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 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 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $0.33 Typical High $0.52 | Professional | RR · Rental | $0.33 | $0.33 | $0.52 |
Where Ohio 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.
Ohio· 40th of 51
$3.80
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.