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 $2.29 Median $2.29 Typical High $2.88 | Facility | None | $2.29 | $2.29 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | None | $2.29 | $2.88 | $2.88 |
AmeriHealth Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
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 $4.27 Median $4.68 Typical High $4.68 | Professional | None | $4.27 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Emblem Health Setting Professional Modifier None Typical Low $6.31 Median $6.92 Typical High $8.91 | Professional | None | $6.31 | $6.92 | $8.91 |
Geisinger Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Geisinger Setting Professional Modifier None Typical Low $2.34 Median $2.45 Typical High $4.79 | Professional | None | $2.34 | $2.45 | $4.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $23.99 | Facility | None | $12.30 | $19.05 | $23.99 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Martin's Point Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | None | $2.29 | $2.88 | $2.88 |
Oscar Health Setting Professional Modifier None Typical Low $3.09 Median $6.76 Typical High $6.76 | Professional | None | $3.09 | $6.76 | $6.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.39 Median $15.14 Typical High $26.30 | Facility | None | $3.39 | $15.14 | $26.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.47 | Professional | None | $3.39 | $3.39 | $4.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.34 Typical High $3.39 | Professional | None | $2.00 | $2.34 | $3.39 |
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 A2 · Dressing, 2 wounds Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | A2 · Dressing, 2 wounds | $3.63 | $3.63 | $3.63 |
Where Pennsylvania sits
The same service costs 3.0 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· 23rd of 51
$2.88
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.