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 $0.68 Median $1.26 Typical High $1.58 | Facility | None | $0.68 | $1.26 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $0.68 Median $0.98 Typical High $1.58 | Professional | None | $0.68 | $0.98 | $1.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $0.85 Typical High $1.35 | Professional | None | $0.71 | $0.85 | $1.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.52 Median $0.71 Typical High $1.12 | Professional | UE · Used equipment | $0.52 | $0.71 | $1.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.62 | Professional | None | $0.98 | $0.98 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Medica Setting Facility Modifier None Typical Low $0.91 Median $1.91 Typical High $79.43 | Facility | None | $0.91 | $1.91 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.56 Median $0.79 Typical High $7.94 | Professional | None | $0.56 | $0.79 | $7.94 |
United Setting Professional Modifier None Typical Low $0.52 Median $0.79 Typical High $1.29 | Professional | None | $0.52 | $0.79 | $1.29 |
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 A2 · Dressing, 2 wounds + A6 · Dressing, 6 wounds Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | A2 · Dressing, 2 wounds + A6 · Dressing, 6 wounds | $1.23 | $1.23 | $1.23 |
Where Missouri sits
The same service costs 2.6 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.
Missouri· 35th of 51
$0.85
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.