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 $0.44 Median $0.74 Typical High $0.85 | Facility | None | $0.44 | $0.74 | $0.85 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.79 Typical High $0.85 | Professional | None | $0.72 | $0.79 | $0.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.56 Median $0.65 Typical High $0.91 | Professional | None | $0.56 | $0.65 | $0.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.44 Median $0.44 Typical High $0.65 | Professional | UE · Used equipment | $0.44 | $0.44 | $0.65 |
CareSource Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $1.26 | Facility | None | $0.85 | $0.85 | $1.26 |
CareSource Setting Professional Modifier None Typical Low $0.85 Median $0.93 Typical High $1.41 | Professional | None | $0.85 | $0.93 | $1.41 |
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 $6.61 | Professional | None | $0.68 | $0.68 | $6.61 |
Molina Setting Professional Modifier None Typical Low $0.95 Median $1.91 Typical High $1.91 | Professional | None | $0.95 | $1.91 | $1.91 |
United Setting Professional Modifier None Typical Low $0.44 Median $0.60 Typical High $0.81 | Professional | None | $0.44 | $0.60 | $0.81 |
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 A2 · Dressing, 2 wounds Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | A2 · Dressing, 2 wounds | $1.35 | $1.35 | $1.35 |
Where Kentucky 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.
Kentucky· 38th of 51
$0.68
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.