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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | None | $40.74 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $8.13 | $10.72 |
BCBS Wyoming Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | None | $66.07 | $81.28 | $81.28 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $45.71 | $56.23 | $56.23 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $13.18 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $48.98 | Professional | None | $30.20 | $38.02 | $48.98 |
United Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $66.07 | Professional | None | $34.67 | $61.66 | $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 $20.42 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $20.42 | $20.42 | $26.92 |
Where Wyoming sits
The same service costs 2.9 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· 3rd 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.