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 $4.79 Median $4.79 Typical High $5.25 | Facility | None | $4.79 | $4.79 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $6.17 | Professional | None | $4.47 | $4.79 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
BCBS Texas Setting Facility Modifier None Typical Low $5.89 Median $8.32 Typical High $20.89 | Facility | None | $5.89 | $8.32 | $20.89 |
BCBS Texas Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Lucent Health Setting Professional Modifier None Typical Low $37.15 Median $288.40 Typical High $288.40 | Professional | None | $37.15 | $288.40 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $524.81 | Facility | None | $4.90 | $7.59 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $4.47 Median $4.90 Typical High $6.46 | Professional | None | $4.47 | $4.90 | $6.46 |
Molina Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | None | $5.01 | $5.01 | $5.75 |
Oscar Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Providence Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $7.76 | Facility | None | $4.90 | $7.59 | $7.76 |
Providence Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.39 Typical High $4.47 | Professional | None | $2.63 | $3.39 | $4.47 |
Wellpoint Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
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 $5.25 Median $5.25 Typical High $5.25 | Professional | A3 · Dressing, 3 wounds | $5.25 | $5.25 | $5.25 |
Where Texas 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.
Texas· 41st 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.