How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $1,318.26 Median $2,511.89 Typical High $2,511.89 | Professional | 53 · Discontinued | $1,318.26 | $2,511.89 | $2,511.89 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $707.95 Typical High $707.95 | Professional | 55 · Aftercare only | $380.19 | $707.95 | $707.95 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier None Typical Low $104.71 Median $1,548.82 Typical High $2,884.03 | Professional | None | $104.71 | $1,548.82 | $2,884.03 |