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 $2.95 Median $5.01 Typical High $5.62 | Facility | None | $2.95 | $5.01 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.37 Typical High $5.62 | Professional | None | $4.90 | $5.37 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $4.27 Typical High $6.03 | Professional | None | $3.31 | $4.27 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $14.13 | Professional | None | $9.55 | $10.96 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $43.65 | Professional | None | $4.47 | $4.47 | $43.65 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $12.59 Typical High $12.59 | Professional | None | $6.31 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $2.95 Median $3.98 Typical High $5.37 | Professional | None | $2.95 | $3.98 | $5.37 |
3 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 + A4 · Dressing, 4 wounds Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | A1 · Dressing, 1 wound + A4 · Dressing, 4 wounds | $6.76 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | RR · Rental | $0.39 | $0.39 | $0.39 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $2.95 Typical High $3.24 | Professional | UE · Used equipment | $2.95 | $2.95 | $3.24 |
Where Kentucky sits
The same service costs 3.2 times more in Hawaii than in Colorado. 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.
Kentucky· 42nd of 51
$4.47
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.