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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None | $51.29 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | 53 · Discontinued | $10.23 | $10.23 | $13.49 |
BCBS Wyoming Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | None | $83.18 | $102.33 | $102.33 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $57.54 | $70.79 | $70.79 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $16.60 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | None | $42.66 | $51.29 | $66.07 |
United Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $91.20 | Professional | None | $45.71 | $79.43 | $91.20 |
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 $25.70 Median $25.70 Typical High $33.88 | Professional | 52 · Reduced service | $25.70 | $25.70 | $33.88 |
Where Wyoming sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 5th of 51
$83.18
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.