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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $87.10 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | 26 · Professional part | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $41.69 | $41.69 | $47.86 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $125.89 | $154.88 | $154.88 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $64.57 | $79.43 | $79.43 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $109.65 | $109.65 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $25.12 | $30.90 | $30.90 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $61.66 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $64.57 | $87.10 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $46.77 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $39.81 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $81.28 | $138.04 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $74.13 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $66.07 | $67.61 |
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 $43.65 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $43.65 | $43.65 | $48.98 |
Where Wyoming sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$126
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.