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 $35.48 Median $35.48 Typical High $53.70 | Facility | None | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $74.13 | Professional | None | $35.48 | $50.12 | $74.13 |
BCBS Wyoming Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
BCBS Wyoming Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $154.88 | Professional | None | $67.61 | $102.33 | $154.88 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $123.03 Typical High $234.42 | Professional | 50 · Both sides | $67.61 | $123.03 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $109.65 | Facility | None | $46.77 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $109.65 | Professional | None | $47.86 | $63.10 | $109.65 |
United Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $3,090.30 | Facility | None | $223.87 | $295.12 | $3,090.30 |
United Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $151.36 | Professional | None | $51.29 | $81.28 | $151.36 |
5 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 $17.78 Median $26.92 Typical High $37.15 | Professional | 52 · Reduced service | $17.78 | $26.92 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $10.72 Typical High $14.79 | Professional | 53 · Discontinued | $7.24 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $39.81 Typical High $54.95 | Professional | 54 · Surgery only | $26.92 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.94 Typical High $10.96 | Professional | 55 · Aftercare only | $5.37 | $7.94 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.37 Typical High $7.41 | Professional | 56 · Pre-op care only | $3.55 | $5.37 | $7.41 |
Where Wyoming sits
The same service costs 4.1 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· 4th of 51
$93.33
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.