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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | 53 · Discontinued | $14.13 | $14.13 | $16.60 |
BCBS Wyoming Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | None | $107.15 | $131.83 | $131.83 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $93.33 | $93.33 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | None | $58.88 | $70.79 | $93.33 |
United Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $134.90 | Professional | None | $54.95 | $107.15 | $134.90 |
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 $35.48 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $35.48 | $41.69 |
Where Wyoming sits
The same service costs 4.5 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
$107
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.