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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $87.10 | $109.65 | $109.65 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $34.67 | $43.65 | $43.65 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $75.86 | $75.86 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $17.38 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $52.48 | Professional | None (both parts) | $26.92 | $26.92 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $26.30 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $114.82 | Professional | None (both parts) | $34.67 | $44.67 | $114.82 |
2 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 Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $38.90 | $61.66 |
Where Wyoming sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 4th of 51
$87.10
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.