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 $1.17 Median $1.32 Typical High $2.51 | Facility | None | $1.17 | $1.32 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $2.51 | Professional | None | $1.17 | $1.17 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $4.68 | Professional | None | $1.20 | $1.20 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.12 Typical High $0.20 | Professional | RR · Rental | $0.12 | $0.12 | $0.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $0.89 Typical High $2.34 | Professional | UE · Used equipment | $0.89 | $0.89 | $2.34 |
CDPHP Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Emblem Health Setting Facility Modifier None Typical Low $2.69 Median $4.07 Typical High $9.77 | Facility | None | $2.69 | $4.07 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $5.13 | Professional | None | $2.45 | $3.02 | $5.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.55 Median $2.04 Typical High $2.24 | Professional | None | $1.55 | $2.04 | $2.24 |
MVP Health Care Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
MVP Health Care Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $3.98 | Professional | None | $1.66 | $1.66 | $3.98 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.62 Typical High $1.95 | Professional | None | $0.89 | $1.62 | $1.95 |
Univera Setting Facility Modifier None Typical Low $1.55 Median $2.04 Typical High $2.04 | Facility | None | $1.55 | $2.04 | $2.04 |
Univera Setting Professional Modifier None Typical Low $1.55 Median $2.04 Typical High $2.24 | Professional | None | $1.55 | $2.04 | $2.24 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | A1 · Dressing, 1 wound | $1.91 | $1.91 | $1.91 |
Where New York sits
The same service costs 2.8 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.
New York· 29th of 51
$1.55
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.