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 $0.78 Median $0.78 Typical High $15,135.61 | Facility | None | $0.78 | $0.78 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $0.78 Median $0.98 Typical High $0.98 | Professional | None | $0.78 | $0.98 | $0.98 |
AmeriHealth Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $512.86 | Facility | None | $158.49 | $194.98 | $512.86 |
AmeriHealth Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.45 Median $1.58 Typical High $1.58 | Professional | None | $1.45 | $1.58 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Facility | None | $0.95 | $0.95 | $0.95 |
Cigna Setting Professional Modifier None Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | None | $0.81 | $0.81 | $0.81 |
Emblem Health Setting Professional Modifier None Typical Low $2.14 Median $2.34 Typical High $3.02 | Professional | None | $2.14 | $2.34 | $3.02 |
Geisinger Setting Facility Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Facility | None | $1.62 | $1.62 | $1.62 |
Geisinger Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $1.62 | Professional | None | $0.98 | $0.98 | $1.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
Independence Blue Cross Setting Facility Modifier None Typical Low $61.66 Median $120.23 Typical High $223.87 | Facility | None | $61.66 | $120.23 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $0.78 Median $0.78 Typical High $15,135.61 | Facility | None | $0.78 | $0.78 | $15,135.61 |
Martin's Point Setting Professional Modifier None Typical Low $0.78 Median $0.98 Typical High $0.98 | Professional | None | $0.78 | $0.98 | $0.98 |
Oscar Health Setting Professional Modifier None Typical Low $1.51 Median $2.29 Typical High $2.29 | Professional | None | $1.51 | $2.29 | $2.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.12 Median $5.25 Typical High $8.91 | Facility | None | $1.12 | $5.25 | $8.91 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.51 | Professional | None | $1.12 | $1.12 | $1.51 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.79 Typical High $1.12 | Professional | None | $0.68 | $0.79 | $1.12 |
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 A3 · Dressing, 3 wounds Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | A3 · Dressing, 3 wounds | $1.23 | $1.23 | $1.23 |
Where Pennsylvania 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.
Pennsylvania· 23rd of 51
$0.98
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.