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 $1.70 Median $1.70 Typical High $3.98 | Facility | None | $1.70 | $1.70 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.29 | Professional | None | $1.70 | $1.70 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.93 Median $1.66 Typical High $4.07 | Professional | None | $0.93 | $1.66 | $4.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.98 Median $1.10 Typical High $1.45 | Professional | UE · Used equipment | $0.98 | $1.10 | $1.45 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.63 | Professional | None | $3.47 | $3.47 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Molina Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.57 | Professional | None | $1.95 | $1.95 | $2.57 |
SummaCare Setting Professional Modifier None Typical Low $2.29 Median $2.69 Typical High $3.72 | Professional | None | $2.29 | $2.69 | $3.72 |
United Setting Professional Modifier None Typical Low $0.89 Median $1.32 Typical High $1.62 | Professional | None | $0.89 | $1.32 | $1.62 |
2 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 Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | A1 · Dressing, 1 wound | $1.45 | $1.45 | $1.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.12 Typical High $0.19 | Professional | RR · Rental | $0.12 | $0.12 | $0.19 |
Where Ohio 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.
Ohio· 36th of 51
$1.38
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.