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 $1.91 Median $1.91 Typical High $2.04 | Facility | None | $1.91 | $1.91 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.04 Typical High $2.04 | Professional | None | $1.91 | $2.04 | $2.04 |
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 $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Facility | None | $0.87 | $0.87 | $0.87 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Geisinger Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $17.78 | Facility | None | $10.47 | $10.47 | $17.78 |
Martin's Point Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Martin's Point Setting Professional Modifier None Typical Low $1.91 Median $2.04 Typical High $2.04 | Professional | None | $1.91 | $2.04 | $2.04 |
Oscar Health Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $7.59 | Professional | None | $2.00 | $2.00 | $7.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.89 Median $19.05 Typical High $30.20 | Facility | None | $3.89 | $19.05 | $30.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.00 Typical High $3.39 | Professional | None | $1.74 | $2.00 | $3.39 |
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 $2.04 Median $2.04 Typical High $2.34 | Professional | A1 · Dressing, 1 wound | $2.04 | $2.04 | $2.34 |
Highmark BCBS Setting Professional Modifier AW · With surgical dressing Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | AW · With surgical dressing | $3.02 | $3.02 | $3.02 |
Where Pennsylvania 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.
Pennsylvania· 33rd of 51
$2.09
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.