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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
BCBS Wyoming Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | None | $323.59 | $398.11 | $398.11 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $309.03 Typical High $389.05 | Professional | None | $95.50 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $426.58 | Professional | None | $53.70 | $66.07 | $426.58 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Where Wyoming sits
The same service costs 12.6 times more in Minnesota 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· 12th of 51
$324
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.