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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $16.98 | Professional | None | $16.22 | $16.60 | $16.98 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $38.02 | Facility | None | $16.60 | $17.38 | $38.02 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $16.98 Typical High $138.04 | Professional | None | $9.77 | $16.98 | $138.04 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $16.98 | Professional | None | $7.94 | $9.77 | $16.98 |
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 A1 · Dressing, 1 wound Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | A1 · Dressing, 1 wound | $21.38 | $21.38 | $28.18 |
Where Oklahoma 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.
Oklahoma· 41st 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.