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 $0.11 Median $0.11 Typical High $0.11 | Facility | None | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.15 | Professional | None | $0.11 | $0.11 | $0.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
BCBS Wyoming Setting Professional Modifier None Typical Low $0.34 Median $0.40 Typical High $0.40 | Professional | None | $0.34 | $0.40 | $0.40 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.24 | $0.28 | $0.28 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.07 | $0.08 | $0.08 |
Cigna Setting Facility Modifier None Typical Low $0.22 Median $0.22 Typical High $0.44 | Facility | None | $0.22 | $0.22 | $0.44 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.16 Typical High $0.16 | Professional | None | $0.11 | $0.16 | $0.16 |
United Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
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 $0.06 Median $0.06 Typical High $0.06 | Professional | 52 · Reduced service | $0.06 | $0.06 | $0.06 |
Where Wyoming sits
The same service costs 3.1 times more in Wyoming than in Texas. 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
$0.34
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.