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 $14.45 Median $14.45 Typical High $44.67 | Facility | None | $14.45 | $14.45 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | None | $14.45 | $14.45 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $20.89 | Professional | None | $7.94 | $10.96 | $20.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $8.13 Typical High $11.75 | Professional | UE · Used equipment | $6.92 | $8.13 | $11.75 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $29.51 | Facility | None | $16.98 | $16.98 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $30.90 | Professional | None | $16.98 | $16.98 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Molina Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $9.55 | Professional | None | $4.57 | $6.31 | $9.55 |
SummaCare Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $31.62 | Professional | None | $19.50 | $22.91 | $31.62 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $13.80 | Professional | None | $7.59 | $11.22 | $13.80 |
2 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 A2 · Dressing, 2 wounds Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | A2 · Dressing, 2 wounds | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $1.58 | Professional | RR · Rental | $1.10 | $1.10 | $1.58 |
Where Ohio 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.
Ohio· 49th 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.