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 $11.22 Median $11.22 Typical High $13.80 | Facility | None | $11.22 | $11.22 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | None | $11.22 | $13.80 | $13.80 |
AmeriHealth Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | None | $20.42 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $42.66 | Professional | None | $30.20 | $33.88 | $42.66 |
Geisinger Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Geisinger Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $22.91 | Professional | None | $11.48 | $12.02 | $22.91 |
Martin's Point Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | None | $11.22 | $13.80 | $13.80 |
Oscar Health Setting Professional Modifier None Typical Low $15.49 Median $32.36 Typical High $32.36 | Professional | None | $15.49 | $32.36 | $32.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.45 Median $74.13 Typical High $125.89 | Facility | None | $14.45 | $74.13 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $21.38 | Professional | None | $14.45 | $14.45 | $21.38 |
United Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $16.22 | Professional | None | $9.55 | $11.22 | $16.22 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | A1 · Dressing, 1 wound | $22.91 | $22.91 | $22.91 |
Where Pennsylvania 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.
Pennsylvania· 22nd of 51
$13.80
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.