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 $7.59 Median $12.59 Typical High $14.45 | Facility | None | $7.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $14.45 | Professional | None | $12.59 | $13.49 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $15.49 | Professional | None | $8.51 | $10.96 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $22.91 | Facility | None | $16.60 | $16.60 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $18.20 Typical High $25.12 | Professional | None | $16.60 | $18.20 | $25.12 |
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 $112.20 | Professional | None | $11.48 | $11.48 | $112.20 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $32.36 | Professional | None | $16.22 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $13.80 | Professional | None | $7.59 | $10.23 | $13.80 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | A1 · Dressing, 1 wound | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | RR · Rental | $1.10 | $1.10 | $1.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.32 Typical High $8.32 | Professional | UE · Used equipment | $8.13 | $8.32 | $8.32 |
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· 43rd of 51
$11.22
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.