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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $40.74 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $28.18 | $28.18 | $39.81 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $64.57 | $79.43 | $79.43 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $16.98 | $21.88 | $21.88 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $56.23 | $56.23 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $12.88 | $15.85 | $15.85 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $46.77 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $39.81 | $51.29 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $12.59 | $16.22 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $35.48 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $131.83 | Professional | None (both parts) | $47.86 | $67.61 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $15.14 | $20.89 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $34.67 | $45.71 | $91.20 |
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 $20.42 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $20.42 | $20.42 | $20.42 |
Where Wyoming sits
The same service costs 2.9 times more in Alaska 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
$64.57
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.