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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
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 $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $123.03 | Professional | None (both parts) | $51.29 | $61.66 | $123.03 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $87.10 | $87.10 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $20.42 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $61.66 | $61.66 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $39.81 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $22.39 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $85.11 | $107.15 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $63.10 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $45.71 | $66.07 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Where Wyoming sits
The same service costs 3.3 times more in Alaska 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· 27th of 51
$74.13
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.