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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $95.50 | $117.49 | $117.49 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $38.02 | $38.02 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $81.28 | $81.28 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $75.86 | $91.20 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $31.62 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $61.66 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $85.11 | $123.03 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $38.90 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $83.18 | $162.18 |
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 $34.67 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $34.67 | $34.67 | $34.67 |
Where Wyoming sits
The same service costs 4.9 times more in Nebraska 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· 11th of 51
$100
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.