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 $0.60 Median $0.98 Typical High $1.02 | Facility | None | $0.60 | $0.98 | $1.02 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.98 Typical High $1.02 | Professional | None | $0.60 | $0.98 | $1.02 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $0.83 Median $0.83 Typical High $1.10 | Facility | None | $0.83 | $0.83 | $1.10 |
AvMed Setting Professional Modifier None Typical Low $0.83 Median $1.10 Typical High $1.35 | Professional | None | $0.83 | $1.10 | $1.35 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Florida Blue Setting Facility Modifier None Typical Low $0.95 Median $1.29 Typical High $5.13 | Facility | None | $0.95 | $1.29 | $5.13 |
Florida Blue Setting Professional Modifier None Typical Low $0.41 Median $0.81 Typical High $1.02 | Professional | None | $0.41 | $0.81 | $1.02 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $0.56 Median $0.81 Typical High $60.26 | Professional | None | $0.56 | $0.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $0.78 Median $0.78 Typical High $1.35 | Professional | None | $0.78 | $0.78 | $1.35 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | A1 · Dressing, 1 wound | $95.50 | $95.50 | $95.50 |
Where Florida sits
The same service costs 2.9 times more in Hawaii than in Colorado. 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
$0.78
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.