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 $26.30 Median $30.20 Typical High $35.48 | Facility | None | $26.30 | $30.20 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $38.02 | Professional | None | $26.30 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.24 |
BCBS Wyoming Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | None | $50.12 | $61.66 | $61.66 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $34.67 | $43.65 | $43.65 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.00 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | None | $25.12 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $33.88 Median $41.69 Typical High $64.57 | Professional | None | $33.88 | $41.69 | $64.57 |
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 $17.78 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $17.78 | $17.78 | $18.20 |
Where Wyoming sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 16th of 51
$38.90
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.