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 $30.90 Median $30.90 Typical High $40.74 | Facility | None | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $40.74 | Professional | None | $30.90 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.92 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $6.92 | $8.13 |
BCBS Wyoming Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $70.79 | Professional | None | $42.66 | $52.48 | $70.79 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $37.15 Typical High $50.12 | Professional | 53 · Discontinued | $30.20 | $37.15 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $66.07 | Professional | None | $38.90 | $48.98 | $66.07 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $81.28 | Professional | None | $44.67 | $63.10 | $81.28 |
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 $15.49 Median $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $17.38 | $20.42 |
Where Wyoming sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 7th of 51
$52.48
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.