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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | 26 · Professional part | $8.91 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $10.96 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | TC · Technical part | $45.71 | $45.71 | $60.26 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $79.43 | $97.72 | $97.72 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $12.02 | $15.14 | $15.14 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $69.18 | $69.18 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $67.61 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $44.67 | $44.67 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $7.59 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | TC · Technical part | $37.15 | $37.15 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $50.12 | $87.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.14 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $15.14 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $70.79 | $83.18 |
2 more rates 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 $27.54 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $27.54 | $35.48 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $15.85 | $19.50 | $19.50 |
Where Wyoming sits
The same service costs 3.5 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· 4th of 51
$79.43
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.