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 $33.88 Median $33.88 Typical High $112.20 | Facility | None | $33.88 | $33.88 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | None | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $6.92 | $6.92 | $9.12 |
BCBS Wyoming Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | None | $54.95 | $67.61 | $67.61 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $10.96 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $40.74 | Professional | None | $25.12 | $31.62 | $40.74 |
United Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $54.95 | Professional | None | $29.51 | $51.29 | $54.95 |
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 $16.98 Typical High $22.91 | Professional | 52 · Reduced service | $16.98 | $16.98 | $22.91 |
Where Wyoming sits
The same service costs 2.9 times more in North Dakota than in Kentucky. 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
$54.95
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.