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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | None | $37.15 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.91 |
BCBS Wyoming Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | None | $57.54 | $70.79 | $70.79 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $50.12 | $50.12 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $45.71 | Professional | None | $28.18 | $35.48 | $45.71 |
United Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $60.26 | Professional | None | $32.36 | $57.54 | $60.26 |
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 $18.62 Median $18.62 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $18.62 | $22.39 |
Where Wyoming sits
The same service costs 3.4 times more in Alaska 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· 4th of 51
$57.54
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.