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 $380.19 Median $1,071.52 Typical High $1,071.52 | Facility | None | $380.19 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $39.81 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $13.80 | Professional | 26 · Professional part | $10.23 | $10.23 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $29.51 | $29.51 | $51.29 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $57.54 | $70.79 | $70.79 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $18.20 | $18.20 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $48.98 | $48.98 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $14.13 | $14.13 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $41.69 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $61.66 | $67.61 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $13.18 | $16.98 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $50.12 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $66.07 | $93.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $20.89 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $72.44 | $128.82 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.95 | $19.95 | $19.95 |
Where Wyoming sits
The same service costs 3.3 times more in Minnesota 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· 13th of 51
$70.79
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.