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 $302.00 Median $1,698.24 Typical High $1,698.24 | Facility | None | $302.00 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | None (both parts) | $27.54 | $27.54 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $19.05 | $30.20 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $39.81 | $48.98 | $48.98 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $12.02 | $14.13 | $14.13 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $34.67 | $34.67 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $7.94 | $9.77 | $9.77 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $28.18 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $36.31 | $40.74 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $10.96 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $30.90 | $42.66 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $39.81 | $56.23 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $9.55 | $13.80 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $42.66 | $74.13 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.49 |
Where Wyoming sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 10th of 51
$46.77
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.