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 $0.08 Median $0.12 Typical High $0.12 | Facility | None | $0.08 | $0.12 | $0.12 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.12 Typical High $0.12 | Professional | None | $0.08 | $0.12 | $0.12 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.96 | Professional | None | $7.08 | $7.08 | $10.96 |
AvMed Setting Facility Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Facility | None | $0.12 | $0.12 | $0.12 |
AvMed Setting Professional Modifier None Typical Low $0.12 Median $0.15 Typical High $0.15 | Professional | None | $0.12 | $0.15 | $0.15 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Florida Blue Setting Facility Modifier None Typical Low $0.13 Median $0.19 Typical High $0.72 | Facility | None | $0.13 | $0.19 | $0.72 |
Florida Blue Setting Professional Modifier None Typical Low $0.05 Median $0.09 Typical High $0.15 | Professional | None | $0.05 | $0.09 | $0.15 |
Molina Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
United Setting Professional Modifier None Typical Low $0.07 Median $0.10 Typical High $60.26 | Professional | None | $0.07 | $0.10 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.15 | Professional | None | $0.11 | $0.11 | $0.15 |
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 Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | A1 · Dressing, 1 wound | $10.96 | $10.96 | $10.96 |
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | AU · Urologic/ostomy supply | $10.96 | $10.96 | $10.96 |
Ambetter Setting Professional Modifier AW · With surgical dressing Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | AW · With surgical dressing | $7.08 | $7.08 | $7.08 |
Where Florida sits
The same service costs 2.2 times more in Idaho 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.
Florida· 26th of 51
$0.10
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.