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 $1.66 Median $1.66 Typical High $1.66 | Facility | None | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.66 | Professional | None | $1.62 | $1.62 | $1.66 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Medica Setting Facility Modifier None Typical Low $1.66 Median $1.74 Typical High $3.80 | Facility | None | $1.66 | $1.74 | $3.80 |
Medica Setting Professional Modifier None Typical Low $0.98 Median $1.70 Typical High $13.80 | Professional | None | $0.98 | $1.70 | $13.80 |
United Setting Professional Modifier None Typical Low $0.78 Median $0.98 Typical High $1.70 | Professional | None | $0.78 | $0.98 | $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 $2.14 Median $2.14 Typical High $2.14 | Professional | A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds | $2.14 | $2.14 | $2.14 |
Where Oklahoma 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.
Oklahoma· 29th of 51
$1.62
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.