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 $2.24 Median $2.24 Typical High $588.84 | Facility | None | $2.24 | $2.24 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $2.82 | Professional | None | $2.24 | $2.82 | $2.82 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
AmeriHealth Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.57 Typical High $4.57 | Professional | None | $4.07 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $8.51 | Professional | None | $6.03 | $6.76 | $8.51 |
Geisinger Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Geisinger Setting Professional Modifier None Typical Low $2.29 Median $2.40 Typical High $4.68 | Professional | None | $2.29 | $2.40 | $4.68 |
Martin's Point Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $588.84 | Facility | None | $2.24 | $2.24 | $588.84 |
Martin's Point Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $2.82 | Professional | None | $2.24 | $2.82 | $2.82 |
Oscar Health Setting Professional Modifier None Typical Low $3.09 Median $6.46 Typical High $6.46 | Professional | None | $3.09 | $6.46 | $6.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.24 Median $14.79 Typical High $25.12 | Facility | None | $3.24 | $14.79 | $25.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.37 | Professional | None | $3.24 | $3.24 | $4.37 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $3.24 | Professional | None | $1.95 | $2.29 | $3.24 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds + A4 · Dressing, 4 wounds + AW · With surgical dressing Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | A1 · Dressing, 1 wound + A2 · Dressing, 2 wounds + A4 · Dressing, 4 wounds + AW · With surgical dressing | $3.39 | $3.39 | $3.39 |
Where Pennsylvania 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.
Pennsylvania· 22nd of 51
$2.82
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.