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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | None | $38.90 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.23 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.23 |
BCBS Wyoming Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | None | $61.66 | $77.62 | $77.62 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $53.70 | $53.70 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $12.30 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $45.71 | Professional | None | $28.84 | $35.48 | $45.71 |
United Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $61.66 | Professional | None | $30.90 | $58.88 | $61.66 |
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 $19.50 Median $19.50 Typical High $25.70 | Professional | 52 · Reduced service | $19.50 | $19.50 | $25.70 |
Where Wyoming sits
The same service costs 3.5 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· 4th of 51
$60.26
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.