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 None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | TC · Technical part | $26.30 | $26.30 | $30.90 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $93.33 | $114.82 | $114.82 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $64.57 | $64.57 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $79.43 | $79.43 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $22.91 | $22.91 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $39.81 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $52.48 | $66.07 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $30.90 | $38.90 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $26.92 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $61.66 | $104.71 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $61.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $41.69 | $47.86 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $31.62 | $35.48 |
Where Wyoming sits
The same service costs 3.7 times more in Alaska than in Florida. 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.
Wyoming· 4th of 51
$93.33
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.