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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
BCBS Wyoming Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $60.26 | Professional | None | $48.98 | $60.26 | $60.26 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $41.69 | $41.69 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $9.77 | $12.02 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $26.30 | Professional | None | $17.38 | $19.05 | $26.30 |
United Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $74.13 | Professional | None | $38.02 | $57.54 | $74.13 |
3 more rates 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
Where Wyoming sits
The same service costs 3.4 times more in Wyoming than in Alabama. 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· 1st of 51
$48.98
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.