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 $1.51 Median $1.74 Typical High $2.09 | Facility | None | $1.51 | $1.74 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $1.74 Typical High $2.14 | Professional | None | $1.51 | $1.74 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.40 Typical High $0.42 | Professional | 53 · Discontinued | $0.40 | $0.40 | $0.42 |
BCBS Wyoming Setting Professional Modifier None Typical Low $3.02 Median $3.98 Typical High $3.98 | Professional | None | $3.02 | $3.98 | $3.98 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.09 | $2.82 | $2.82 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.60 | $0.79 | $0.79 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.40 Typical High $4.47 | Professional | None | $2.24 | $2.40 | $4.47 |
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 $1.00 Median $1.00 Typical High $1.07 | Professional | 52 · Reduced service | $1.00 | $1.00 | $1.07 |
Where Wyoming sits
The same service costs 2.2 times more in North Dakota 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· 5th of 51
$3.02
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.