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 $147.91 Median $147.91 Typical High $223.87 | Facility | None | $147.91 | $147.91 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $302.00 | Professional | None | $147.91 | $204.17 | $302.00 |
BCBS Wyoming Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Wyoming Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $630.96 | Professional | None | $281.84 | $436.52 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $380.19 Typical High $549.54 | Facility | None | $234.42 | $380.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $467.74 | Professional | None | $199.53 | $269.15 | $467.74 |
United Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $3,162.28 | Facility | None | $501.19 | $794.33 | $3,162.28 |
United Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $562.34 | Professional | None | $186.21 | $338.84 | $562.34 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | 52 · Reduced service | $74.13 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $42.66 Typical High $60.26 | Professional | 53 · Discontinued | $29.51 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $162.18 Typical High $223.87 | Professional | 54 · Surgery only | $112.20 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $32.36 Typical High $45.71 | Professional | 55 · Aftercare only | $22.39 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $21.38 Typical High $30.20 | Professional | 56 · Pre-op care only | $14.79 | $21.38 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $151.36 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $104.71 | $151.36 | $208.93 |
Where Wyoming sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 3rd of 51
$417
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.