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 $1.78 Median $1.78 Typical High $5.01 | Facility | None | $1.78 | $1.78 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.45 | Professional | None | $1.78 | $1.78 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $1.38 Typical High $3.63 | Professional | None | $1.00 | $1.38 | $3.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.05 Median $1.17 Typical High $1.55 | Professional | UE · Used equipment | $1.05 | $1.17 | $1.55 |
CareSource Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
CareSource Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.72 | Professional | None | $3.63 | $3.63 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Molina Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.35 | Professional | None | $1.00 | $1.00 | $1.35 |
SummaCare Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $3.89 | Professional | None | $2.40 | $2.82 | $3.89 |
United Setting Professional Modifier None Typical Low $0.91 Median $1.38 Typical High $1.70 | Professional | None | $0.91 | $1.38 | $1.70 |
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 A1 · Dressing, 1 wound Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | A1 · Dressing, 1 wound | $2.14 | $2.14 | $2.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.12 Typical High $0.16 | Professional | RR · Rental | $0.12 | $0.12 | $0.16 |
Where Ohio 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.
Ohio· 39th of 51
$1.41
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.