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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | None | $41.69 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | 53 · Discontinued | $8.32 | $8.32 | $10.96 |
BCBS Wyoming Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | None | $67.61 | $83.18 | $83.18 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $46.77 | $57.54 | $57.54 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $13.49 | $16.60 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $48.98 | Professional | None | $30.20 | $37.15 | $48.98 |
United Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $66.07 | Professional | None | $35.48 | $63.10 | $66.07 |
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 $20.89 Median $20.89 Typical High $27.54 | Professional | 52 · Reduced service | $20.89 | $20.89 | $27.54 |
Where Wyoming sits
The same service costs 2.6 times more in Alaska 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
$66.07
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.