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 $10.23 Median $16.60 Typical High $17.38 | Facility | None | $10.23 | $16.60 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $17.38 | Professional | None | $10.23 | $16.60 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
AvMed Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $18.62 | Facility | None | $10.23 | $10.23 | $18.62 |
AvMed Setting Professional Modifier None Typical Low $10.23 Median $18.62 Typical High $22.91 | Professional | None | $10.23 | $18.62 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Florida Blue Setting Facility Modifier None Typical Low $16.22 Median $22.39 Typical High $87.10 | Facility | None | $16.22 | $22.39 | $87.10 |
Florida Blue Setting Professional Modifier None Typical Low $6.92 Median $13.80 Typical High $17.38 | Professional | None | $6.92 | $13.80 | $17.38 |
Molina Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | None | $13.18 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $60.26 | Professional | None | $9.77 | $13.80 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $22.91 | Professional | None | $13.18 | $13.18 | $22.91 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | A1 · Dressing, 1 wound | $16.22 | $16.22 | $16.22 |
Where Florida 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.
Florida· 27th of 51
$13.18
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.