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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $162.18 | $199.53 | $199.53 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $95.50 | $95.50 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $114.82 | $141.25 | $141.25 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $32.36 | $39.81 | $39.81 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $85.11 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $114.82 | $114.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $58.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $54.95 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $147.91 | $190.55 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $97.72 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $93.33 | $138.04 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Where Wyoming sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 16th of 51
$162
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.