How much rates vary
Facilitymedian $123 · 10th to 90th $123 to $123Professionalmedian $214 · 10th to 90th $166 to $229
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $181.97 | $223.87 | $223.87 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $64.57 | $64.57 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $128.82 | $158.49 | $158.49 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $36.31 | $44.67 | $44.67 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $128.82 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $165.96 | $165.96 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $38.02 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $128.82 | $128.82 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $223.87 | $245.47 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $63.10 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $181.97 | $338.84 |
2 more rates 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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.30 |
Where Wyoming sits
The same service costs 3.2 times more in Kansas 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· 18th of 51
$214
KS $324UT $100
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.