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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $63.10 | $63.10 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $34.67 | $42.66 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $91.20 | $114.82 | $114.82 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $48.98 | $48.98 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $79.43 | $79.43 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $18.20 | $22.91 | $22.91 |
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 $60.26 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $60.26 | $77.62 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $37.15 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $30.90 | $40.74 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $70.79 | $100.00 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $50.12 | $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 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Where Wyoming sits
The same service costs 3.6 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· 12th of 51
$91.20
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.