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 $1.78 Median $1.78 Typical High $25.12 | Facility | None | $1.78 | $1.78 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $12.88 | Professional | None | $1.78 | $1.78 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $5.37 | Professional | None | $2.34 | $3.80 | $5.37 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.45 Median $2.75 Typical High $3.47 | Professional | UE · Used equipment | $2.45 | $2.75 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Molina Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $10.23 | Professional | None | $6.92 | $6.92 | $10.23 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.78 Typical High $2.82 | Professional | None | $1.20 | $1.78 | $2.82 |
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 A4 · Dressing, 4 wounds Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | A4 · Dressing, 4 wounds | $2.04 | $2.04 | $2.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | RR · Rental | $0.28 | $0.28 | $0.28 |
Where Ohio sits
The same service costs 158.5 times more in Wyoming than in Minnesota. 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· 43rd of 51
$1.78
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.