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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $114.82 | $141.25 | $141.25 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $64.57 | $64.57 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $97.72 | $97.72 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $22.91 | $28.18 | $28.18 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $61.66 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $58.88 | $58.88 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $38.90 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $19.95 | $19.95 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $91.20 | $114.82 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $66.07 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $33.11 | $52.48 | $79.43 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Where Wyoming sits
The same service costs 3.4 times more in Alaska than in New York. 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
$115
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.