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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $58.88 Typical High $61.66 | Professional | None (both parts) | $34.67 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $6.92 | $11.75 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $53.70 | $67.61 | $67.61 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $46.77 | $46.77 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $10.72 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $50.12 | $50.12 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $10.00 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $39.81 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $61.66 | $97.72 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.89 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $20.89 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $75.86 | $89.13 |
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 $16.98 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $16.98 | $29.51 | $30.90 |
Where Wyoming sits
The same service costs 3.3 times more in Alaska than in Ohio. 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
$67.61
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.