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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | TC · Technical part | $16.98 | $16.98 | $16.98 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $45.71 | $57.54 | $57.54 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $18.20 | $21.88 | $21.88 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $39.81 | $39.81 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $9.12 | $11.48 | $11.48 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $28.18 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $30.90 | $30.90 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $12.59 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $18.20 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $85.11 | Professional | None (both parts) | $47.86 | $53.70 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $20.89 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $31.62 | $54.95 |
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 $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Where Wyoming sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 19th of 51
$45.71
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.