How much rates vary
Professionalmedian $269 · 10th to 90th $257 to $513
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $181.97 | $181.97 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $41.69 | $51.29 | $51.29 |
3 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 Facility Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $512.86 | Professional | None | $257.04 | $269.15 | $512.86 |