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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | None | $23.99 | $24.55 | $24.55 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $54.95 | Facility | None | $24.55 | $25.70 | $54.95 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $204.17 | Professional | None | $14.45 | $25.12 | $204.17 |
United Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $25.12 | Professional | None | $11.48 | $14.45 | $25.12 |
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 + A2 · Dressing, 2 wounds Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds | $31.62 | $31.62 | $31.62 |
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
$20.89
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.