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 $17.78 Median $17.78 Typical High $52.48 | Facility | None | $17.78 | $17.78 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $27.54 | Professional | None | $17.78 | $17.78 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $13.49 Typical High $25.70 | Professional | None | $9.55 | $13.49 | $25.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $10.00 Typical High $14.79 | Professional | UE · Used equipment | $8.51 | $10.00 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $22.91 Typical High $33.11 | Professional | None | $16.60 | $22.91 | $33.11 |
SummaCare Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $38.90 | Professional | None | $23.99 | $28.18 | $38.90 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $16.98 | Professional | None | $9.33 | $13.80 | $16.98 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | A1 · Dressing, 1 wound | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.23 Typical High $1.66 | Professional | RR · Rental | $1.23 | $1.23 | $1.66 |
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· 43rd of 51
$14.13
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.