How much rates vary
Professionalmedian $1,778 · 10th to 90th $117 to $3,090
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 $208.93 Median $208.93 Typical High $208.93 | Facility | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $1,548.82 Median $2,884.03 Typical High $2,884.03 | Professional | 53 · Discontinued | $1,548.82 | $2,884.03 | $2,884.03 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $831.76 Typical High $831.76 | Professional | 55 · Aftercare only | $436.52 | $831.76 | $831.76 |
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 $117.49 Median $1,778.28 Typical High $3,090.30 | Professional | None | $117.49 | $1,778.28 | $3,090.30 |