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 $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
BCBS Wyoming Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | None | $43.65 | $54.95 | $54.95 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $38.90 | $38.90 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $8.71 | $10.96 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $19.05 | Professional | None | $12.30 | $15.14 | $19.05 |
United Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $44.67 | Professional | None | $33.88 | $35.48 | $44.67 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where Wyoming sits
The same service costs 13.2 times more in North Carolina 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· 2nd of 51
$43.65
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.