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 $2.34 Median $2.34 Typical High $2.57 | Facility | None | $2.34 | $2.34 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.34 Typical High $2.63 | Professional | None | $2.19 | $2.34 | $2.63 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
BCBS Texas Setting Facility Modifier None Typical Low $2.88 Median $4.07 Typical High $10.23 | Facility | None | $2.88 | $4.07 | $10.23 |
BCBS Texas Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Lucent Health Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $27.54 | Professional | None | $18.20 | $27.54 | $27.54 |
Moda Health Setting Facility Modifier None Typical Low $2.34 Median $3.39 Typical High $3.72 | Facility | None | $2.34 | $3.39 | $3.72 |
Moda Health Setting Professional Modifier None Typical Low $2.19 Median $2.34 Typical High $2.75 | Professional | None | $2.19 | $2.34 | $2.75 |
Molina Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | None | $2.45 | $2.45 | $2.82 |
Providence Setting Facility Modifier None Typical Low $2.40 Median $3.72 Typical High $3.80 | Facility | None | $2.40 | $3.72 | $3.80 |
Providence Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.66 Typical High $2.19 | Professional | None | $1.29 | $1.66 | $2.19 |
Wellpoint Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
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 $1.86 Median $1.86 Typical High $2.57 | Professional | A1 · Dressing, 1 wound | $1.86 | $1.86 | $2.57 |
Where Texas 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.
Texas· 24th of 51
$2.19
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.