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 $23.99 Median $26.92 Typical High $52.48 | Facility | None | $23.99 | $26.92 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $52.48 | Professional | None | $23.99 | $23.99 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $95.50 | Professional | None | $23.44 | $23.44 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.34 Typical High $4.27 | Professional | RR · Rental | $2.34 | $2.34 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $25.70 | Professional | UE · Used equipment | $17.78 | $17.78 | $25.70 |
CDPHP Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $204.17 | Facility | None | $56.23 | $83.18 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $104.71 | Professional | None | $51.29 | $61.66 | $104.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.13 Median $31.62 Typical High $45.71 | Professional | None | $14.13 | $31.62 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
MVP Health Care Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $81.28 | Professional | None | $33.88 | $33.88 | $81.28 |
United Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $39.81 | Professional | None | $18.20 | $33.88 | $39.81 |
Univera Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $31.62 | Facility | None | $14.13 | $14.13 | $31.62 |
Univera Setting Professional Modifier None Typical Low $14.13 Median $31.62 Typical High $45.71 | Professional | None | $14.13 | $31.62 | $45.71 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | A1 · Dressing, 1 wound | $9.55 | $9.55 | $9.55 |
Where New York sits
The same service costs 2.8 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.
New York· 28th of 51
$31.62
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.