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 $1,288.25 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,288.25 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,584.89 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $316.23 Typical High $537.03 | Professional | 53 · Discontinued | $257.04 | $316.23 | $537.03 |
BCBS Wyoming Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
BCBS Wyoming Setting Professional Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $4,570.88 | Professional | None | $2,454.71 | $3,715.35 | $4,570.88 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $2,570.40 Typical High $3,162.28 | Professional | 53 · Discontinued | $1,698.24 | $2,570.40 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,071.52 | $1,737.80 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,089.30 | $2,570.40 | $3,890.45 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $17,782.79 | Facility | None | $2,951.21 | $5,128.61 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $5,248.07 | Professional | None | $1,862.09 | $2,754.23 | $5,248.07 |
4 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 $645.65 Median $794.33 Typical High $1,348.96 | Professional | 52 · Reduced service | $645.65 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $407.38 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $158.49 Typical High $269.15 | Professional | 56 · Pre-op care only | $128.82 | $158.49 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,905.46 |
Where Wyoming sits
The same service costs 5.5 times more in Alaska 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· 4th of 51
$3,020
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.