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 $2.04 Median $3.31 Typical High $3.47 | Facility | None | $2.04 | $3.31 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $3.31 Typical High $3.47 | Professional | None | $2.04 | $3.31 | $3.47 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.63 | Professional | None | $2.09 | $2.09 | $2.63 |
AvMed Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
AvMed Setting Professional Modifier None Typical Low $3.39 Median $3.98 Typical High $4.68 | Professional | None | $3.39 | $3.98 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Florida Blue Setting Facility Modifier None Typical Low $3.24 Median $4.47 Typical High $17.38 | Facility | None | $3.24 | $4.47 | $17.38 |
Florida Blue Setting Professional Modifier None Typical Low $1.38 Median $2.75 Typical High $3.47 | Professional | None | $1.38 | $2.75 | $3.47 |
Molina Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $2.95 | Professional | None | $2.63 | $2.95 | $2.95 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $60.26 | Professional | None | $1.95 | $2.75 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $4.68 | Professional | None | $2.63 | $2.63 | $4.68 |
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 $3.24 Median $3.24 Typical High $3.24 | Professional | A1 · Dressing, 1 wound | $3.24 | $3.24 | $3.24 |
Where Florida sits
The same service costs 3.2 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.
Florida· 28th of 51
$2.63
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.