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 $0.78 Median $0.79 Typical High $0.79 | Facility | None | $0.78 | $0.79 | $0.79 |
Aetna Setting Professional Modifier None Typical Low $0.78 Median $0.79 Typical High $0.79 | Professional | None | $0.78 | $0.79 | $0.79 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | None | $1.17 | $1.17 | $1.17 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Medica Setting Facility Modifier None Typical Low $0.79 Median $0.81 Typical High $1.82 | Facility | None | $0.79 | $0.81 | $1.82 |
Medica Setting Professional Modifier None Typical Low $0.43 Median $0.81 Typical High $7.08 | Professional | None | $0.43 | $0.81 | $7.08 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.47 Typical High $0.81 | Professional | None | $0.38 | $0.47 | $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 A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds + A3 · Dressing, 3 wounds Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds + A3 · Dressing, 3 wounds | $1.02 | $1.02 | $1.02 |
Where Oklahoma 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.
Oklahoma· 26th of 51
$0.79
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.