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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $16.22 | Professional | 26 · Professional part | $15.14 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $25.70 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $112.20 | $112.20 | $131.83 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $20.89 | $25.70 | $25.70 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $134.90 | $165.96 | $165.96 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $38.90 | $47.86 | $47.86 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $173.78 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $83.18 | $104.71 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $15.14 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $89.13 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $104.71 | $181.97 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $16.22 | $25.12 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $158.49 | $162.18 |
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 $64.57 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $64.57 | $74.13 |
Where Wyoming sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$182
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.