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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $630.96 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $630.96 | $776.25 | $776.25 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $251.19 | $309.03 | $309.03 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $436.52 | $537.03 | $537.03 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $125.89 | $154.88 | $154.88 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $371.54 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $512.86 | $512.86 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $295.12 | Professional | 26 · Professional part | $208.93 | $208.93 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $309.03 | $309.03 | $446.68 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $3,090.30 | Facility | None | $295.12 | $295.12 | $3,090.30 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,202.26 | Professional | None (both parts) | $616.60 | $812.83 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $323.59 Typical High $501.19 | Professional | 26 · Professional part | $263.03 | $323.59 | $501.19 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $489.78 Typical High $724.44 | Professional | TC · Technical part | $436.52 | $489.78 | $724.44 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Where Wyoming sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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
$631
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.