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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | TC · Technical part | $9.33 | $9.33 | $9.33 |
BCBS Wyoming Setting Professional Modifier None (both parts) Typical Low $14.13 Median $25.70 Typical High $30.90 | Professional | None (both parts) | $14.13 | $25.70 | $30.90 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $12.02 | $14.13 | $14.13 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $21.88 | $21.88 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $5.25 | $6.17 | $6.17 |
BCBS Wyoming Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.98 Typical High $16.98 | Professional | TC · Technical part | $14.13 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $26.30 | $33.11 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $14.79 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.20 Typical High $25.12 | Professional | TC · Technical part | $15.49 | $18.20 | $25.12 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Where Wyoming sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 17th of 51
$25.70
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.