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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $64.57 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $46.77 | $57.54 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $114.82 | $144.54 | $144.54 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $33.88 | $33.88 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $81.28 | $100.00 | $100.00 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $28.84 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $87.10 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $67.61 | $87.10 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $19.95 | $25.70 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $61.66 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $74.13 | $109.65 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $75.86 | $114.82 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Where Wyoming sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$115
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.