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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $275.42 | $338.84 | $338.84 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $204.17 | $251.19 | $251.19 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $239.88 | $239.88 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $54.95 | $67.61 | $67.61 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $309.03 | $309.03 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $281.84 | Professional | 26 · Professional part | $199.53 | $199.53 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $107.15 | $151.36 |
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 $316.23 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $316.23 | $363.08 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $263.03 Typical High $457.09 | Professional | 26 · Professional part | $234.42 | $263.03 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $95.50 | $208.93 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $97.72 | $97.72 | $97.72 |
Where Wyoming sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 17th of 51
$316
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.