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 $2.63 Median $2.63 Typical High $3.24 | Facility | None | $2.63 | $2.63 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.24 Typical High $3.39 | Professional | None | $2.63 | $3.24 | $3.39 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3.98 Median $6.92 Typical High $9.77 | Facility | None | $3.98 | $6.92 | $9.77 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.14 Typical High $2.75 | Professional | None | $1.29 | $2.14 | $2.75 |
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 + A5 · Dressing, 5 wounds Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | A1 · Dressing, 1 wound + A5 · Dressing, 5 wounds | $4.07 | $4.07 | $4.07 |
Where Louisiana 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.
Louisiana· 29th 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.