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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $457.09 | $562.34 | $562.34 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $181.97 | $223.87 | $223.87 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $323.59 | $398.11 | $398.11 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $91.20 | $112.20 | $112.20 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $275.42 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $338.84 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $338.84 | $478.63 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $186.21 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $275.42 | $380.19 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Where Wyoming sits
The same service costs 9.8 times more in Alaska than in New York. 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· 7th of 51
$457
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.