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 $1.20 Median $2.04 Typical High $2.29 | Facility | None | $1.20 | $2.04 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.19 Typical High $2.29 | Professional | None | $2.00 | $2.19 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.51 Median $1.74 Typical High $2.45 | Professional | None | $1.51 | $1.74 | $2.45 |
CareSource Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $3.63 | Facility | None | $2.51 | $2.51 | $3.63 |
CareSource Setting Professional Modifier None Typical Low $2.51 Median $2.82 Typical High $3.98 | Professional | None | $2.51 | $2.82 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $17.78 | Professional | None | $1.86 | $1.86 | $17.78 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $5.13 | Professional | None | $2.57 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.62 Typical High $2.19 | Professional | None | $1.20 | $1.62 | $2.19 |
3 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 $2.95 Median $2.95 Typical High $2.95 | Professional | A1 · Dressing, 1 wound | $2.95 | $2.95 | $2.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | RR · Rental | $0.16 | $0.16 | $0.16 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.20 Median $1.20 Typical High $1.74 | Professional | UE · Used equipment | $1.20 | $1.20 | $1.74 |
Where Kentucky 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.
Kentucky· 45th of 51
$1.82
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.