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 $295.12 Median $295.12 Typical High $416.87 | Facility | None | $295.12 | $295.12 | $416.87 |
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 $26.92 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $26.92 | $32.36 |
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 $36.31 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $36.31 | $36.31 | $41.69 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $91.20 | $114.82 | $114.82 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $38.02 | $46.77 | $46.77 |
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 $18.20 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $18.20 | $22.91 | $22.91 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $53.70 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $52.48 | $64.57 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $28.18 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $29.51 | $36.31 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $77.62 | $102.33 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $45.71 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $43.65 | $57.54 | $95.50 |
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 3.5 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· 5th of 51
$95.50
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.