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 $0.87 Median $0.87 Typical High $0.95 | Facility | None | $0.87 | $0.87 | $0.95 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.87 Typical High $0.98 | Professional | None | $0.81 | $0.87 | $0.98 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
BCBS Texas Setting Facility Modifier None Typical Low $1.07 Median $1.48 Typical High $3.80 | Facility | None | $1.07 | $1.48 | $3.80 |
BCBS Texas Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Lucent Health Setting Professional Modifier None Typical Low $7.41 Median $10.23 Typical High $10.23 | Professional | None | $7.41 | $10.23 | $10.23 |
Moda Health Setting Facility Modifier None Typical Low $0.87 Median $1.26 Typical High $1.38 | Facility | None | $0.87 | $1.26 | $1.38 |
Moda Health Setting Professional Modifier None Typical Low $0.81 Median $0.87 Typical High $0.98 | Professional | None | $0.81 | $0.87 | $0.98 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Providence Setting Facility Modifier None Typical Low $0.87 Median $1.35 Typical High $1.41 | Facility | None | $0.87 | $1.35 | $1.41 |
Providence Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.62 Typical High $0.81 | Professional | None | $0.47 | $0.62 | $0.81 |
Wellpoint Setting Professional Modifier None Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | None | $0.59 | $0.59 | $0.59 |
2 more rates 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 |
Ambetter Setting Professional Modifier A2 · Dressing, 2 wounds Typical Low $67.61 Median $95.50 Typical High $95.50 | Professional | A2 · Dressing, 2 wounds | $67.61 | $95.50 | $95.50 |
Where Texas 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.
Texas· 47th 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.