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 $12.02 Median $12.02 Typical High $38.90 | Facility | None | $12.02 | $12.02 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $45.71 | Professional | None | $12.02 | $16.60 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.31 Typical High $9.12 | Professional | 53 · Discontinued | $2.40 | $3.31 | $9.12 |
BCBS Wyoming Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $67.61 | Professional | None | $16.98 | $19.95 | $67.61 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.13 Typical High $46.77 | Professional | 53 · Discontinued | $12.02 | $14.13 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $35.48 Typical High $75.86 | Professional | None | $15.85 | $35.48 | $75.86 |
United Setting Professional Modifier None Typical Low $19.05 Median $40.74 Typical High $109.65 | Professional | None | $19.05 | $40.74 | $109.65 |
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 $6.03 Median $8.13 Typical High $22.91 | Professional | 52 · Reduced service | $6.03 | $8.13 | $22.91 |
Where Wyoming sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 22nd of 51
$38.02
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.