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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | None (both parts) | $17.38 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | 26 · Professional part | $13.49 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.72 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $3.72 Typical High $4.07 | Professional | TC · Technical part | $3.72 | $3.72 | $4.07 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $23.99 | $30.20 | $30.20 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $19.05 | $22.91 | $22.91 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $20.89 | $20.89 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $4.79 | $6.03 | $6.03 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $7.08 Typical High $7.08 | Professional | TC · Technical part | $5.01 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.79 Typical High $19.05 | Professional | None (both parts) | $12.30 | $14.79 | $19.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $17.38 | Professional | 26 · Professional part | $10.72 | $13.18 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1.51 Median $1.78 Typical High $1.95 | Professional | TC · Technical part | $1.51 | $1.78 | $1.95 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $27.54 Typical High $56.23 | Professional | None (both parts) | $20.42 | $27.54 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $20.42 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.25 Typical High $38.90 | Professional | TC · Technical part | $3.89 | $5.25 | $38.90 |
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 $8.51 Median $8.51 Typical High $9.33 | Professional | 52 · Reduced service | $8.51 | $8.51 | $9.33 |
Where Wyoming sits
The same service costs 2.6 times more in California than in New York. 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· 11th of 51
$23.99
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.