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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $151.36 | $186.21 | $186.21 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $97.72 | $120.23 | $120.23 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $128.82 | $128.82 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $30.20 | $37.15 | $37.15 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $52.48 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $141.25 | $165.96 | $199.53 |
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 $117.49 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $117.49 | $151.36 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $93.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $51.29 | $64.57 | $87.10 |
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 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.00 |
Where Wyoming sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 14th of 51
$151
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.