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 $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $54.95 | Professional | None | $39.81 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $9.77 | $9.77 |
BCBS Wyoming Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $85.11 | Professional | None | $56.23 | $69.18 | $85.11 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $60.26 | Professional | 53 · Discontinued | $38.90 | $47.86 | $60.26 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.80 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $13.80 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $104.71 | Professional | None | $53.70 | $75.86 | $104.71 |
United Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $144.54 | Professional | None | $64.57 | $83.18 | $144.54 |
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 $19.95 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $24.55 | $24.55 |
Where Wyoming sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 9th of 51
$69.18
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.