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 $0.09 Median $0.10 Typical High $0.11 | Facility | None | $0.09 | $0.10 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.12 | Professional | None | $0.10 | $0.11 | $0.12 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $10.96 | Professional | None | $7.94 | $10.96 | $10.96 |
BCBS Texas Setting Facility Modifier None Typical Low $0.08 Median $0.16 Typical High $0.44 | Facility | None | $0.08 | $0.16 | $0.44 |
BCBS Texas Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Christus Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Lucent Health Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $3.72 | Professional | None | $1.12 | $1.12 | $3.72 |
Moda Health Setting Facility Modifier None Typical Low $0.10 Median $0.14 Typical High $0.17 | Facility | None | $0.10 | $0.14 | $0.17 |
Moda Health Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.13 | Professional | None | $0.10 | $0.11 | $0.13 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Oscar Health Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
Providence Setting Facility Modifier None Typical Low $0.11 Median $0.15 Typical High $0.17 | Facility | None | $0.11 | $0.15 | $0.17 |
Providence Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
United Setting Professional Modifier None Typical Low $0.06 Median $0.08 Typical High $0.10 | Professional | None | $0.06 | $0.08 | $0.10 |
Wellpoint Setting Professional Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | None | $0.07 | $0.07 | $0.07 |
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 $7.08 Median $8.91 Typical High $10.96 | Professional | A1 · Dressing, 1 wound | $7.08 | $8.91 | $10.96 |
Where Texas 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.
Texas· 47th of 51
$0.08
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.