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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,235.94 | $4,168.69 | $4,168.69 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | 53 · Discontinued | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,238.72 | $3,388.44 |
2 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 RR · Rental Typical Low $812.83 Median $891.25 Typical High $1,380.38 | Professional | RR · Rental | $812.83 | $891.25 | $1,380.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $2,137.96 Typical High $3,235.94 | Professional | UE · Used equipment | $1,905.46 | $2,137.96 | $3,235.94 |
Where Wyoming sits
The same service costs 2.2 times more in Hawaii than in Colorado. 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· 25th of 51
$2,818
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.