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 $0.10 Typical High $0.10 | Facility | None | $0.08 | $0.10 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.09 Median $0.10 Typical High $0.10 | Professional | None | $0.09 | $0.10 | $0.10 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | None | $0.14 | $0.14 | $0.14 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Medica Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.28 | Facility | None | $0.10 | $0.10 | $0.28 |
Medica Setting Professional Modifier None Typical Low $0.06 Median $0.10 Typical High $3.55 | Professional | None | $0.06 | $0.10 | $3.55 |
United Setting Professional Modifier None Typical Low $0.04 Median $0.06 Typical High $0.10 | Professional | None | $0.04 | $0.06 | $0.10 |
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 $10.96 Median $15.14 Typical High $15.14 | Professional | A1 · Dressing, 1 wound | $10.96 | $15.14 | $15.14 |
Where Oklahoma 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.
Oklahoma· 35th of 51
$0.09
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.