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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | TC · Technical part | $7.94 | $7.94 | $7.94 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.13 Typical High $28.18 | Professional | None (both parts) | $12.02 | $14.13 | $28.18 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $19.50 | $19.50 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $4.79 | $5.62 | $5.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | None (both parts) | $17.78 | $17.78 | $26.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $12.02 | Professional | 26 · Professional part | $8.71 | $8.71 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | TC · Technical part | $9.12 | $9.12 | $12.88 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $23.44 | $28.18 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $14.45 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $13.80 Typical High $20.89 | Professional | TC · Technical part | $11.75 | $13.80 | $20.89 |
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 $8.13 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.13 |
Where Wyoming sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 37th of 51
$17.78
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.