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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
BCBS Wyoming Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | None | $338.84 | $426.58 | $426.58 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $239.88 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $331.13 Typical High $407.38 | Professional | None | $100.00 | $331.13 | $407.38 |
United Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $446.68 | Professional | None | $53.70 | $66.07 | $446.68 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Where Wyoming sits
The same service costs 13.5 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· 11th of 51
$339
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.