How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $5Professionalmedian $6 · 10th to 90th $5 to $23
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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.02 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.62 | $7.08 | $7.08 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $1.58 | $2.00 | $2.00 |
United Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $31.62 | Professional | None | $7.76 | $9.77 | $31.62 |
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 $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |