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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | None (both parts) | $46.77 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | TC · Technical part | $26.30 | $26.30 | $29.51 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $69.18 | $85.11 | $85.11 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $37.15 | $37.15 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $58.88 | $58.88 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $13.80 | $16.98 | $16.98 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $38.90 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $38.90 | $48.98 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $21.88 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $26.30 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $57.54 | $77.62 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $35.48 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $31.62 | $42.66 | $81.28 |
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 $23.44 Median $23.44 Typical High $26.30 | Professional | 52 · Reduced service | $23.44 | $23.44 | $26.30 |
Where Wyoming sits
The same service costs 3.4 times more in Alaska 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.
Wyoming· 6th of 51
$69.18
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.