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 $18.62 Median $29.51 Typical High $30.90 | Facility | None | $18.62 | $29.51 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $29.51 Typical High $30.90 | Professional | None | $18.62 | $29.51 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
AvMed Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
AvMed Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $41.69 | Professional | None | $30.90 | $36.31 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Florida Blue Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $158.49 | Facility | None | $29.51 | $39.81 | $158.49 |
Florida Blue Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $31.62 | Professional | None | $12.59 | $25.12 | $31.62 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | None | $23.99 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $60.26 | Professional | None | $17.78 | $25.12 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $41.69 | Professional | None | $23.99 | $23.99 | $41.69 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | A1 · Dressing, 1 wound | $29.51 | $29.51 | $29.51 |
Where Florida 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.
Florida· 29th of 51
$23.99
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.