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 $1.58 Median $1.58 Typical High $1.95 | Facility | None | $1.58 | $1.58 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $1.95 Typical High $2.09 | Professional | None | $1.58 | $1.95 | $2.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2.40 Median $4.17 Typical High $6.03 | Facility | None | $2.40 | $4.17 | $6.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Christus 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 $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.32 Typical High $1.70 | Professional | None | $0.78 | $1.32 | $1.70 |
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 + A2 · Dressing, 2 wounds Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds | $2.00 | $2.00 | $2.00 |
Where Louisiana sits
The same service costs 2.9 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.
Louisiana· 30th of 51
$1.58
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.