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 $22.91 Median $22.91 Typical High $70.79 | Facility | None | $22.91 | $22.91 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $70.79 | Professional | None | $22.91 | $30.90 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.31 Typical High $14.13 | Professional | 53 · Discontinued | $4.57 | $6.31 | $14.13 |
BCBS Wyoming Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $128.82 | Professional | None | $33.11 | $39.81 | $128.82 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $91.20 | Professional | 53 · Discontinued | $22.91 | $28.18 | $91.20 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.94 Typical High $25.70 | Professional | 55 · Aftercare only | $6.61 | $7.94 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $141.25 | Professional | None | $30.20 | $60.26 | $141.25 |
United Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $165.96 | Professional | None | $36.31 | $75.86 | $165.96 |
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 $11.48 Median $15.49 Typical High $35.48 | Professional | 52 · Reduced service | $11.48 | $15.49 | $35.48 |
Where Wyoming sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 13th of 51
$70.79
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.