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 $741.31 Median $741.31 Typical High $1,737.80 | Facility | None | $741.31 | $741.31 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,513.56 Typical High $1,737.80 | Professional | None | $741.31 | $1,513.56 | $1,737.80 |
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 $1,412.54 Median $2,570.40 Typical High $4,677.35 | Professional | None | $1,412.54 | $2,570.40 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $7,244.36 Typical High $10,232.93 | Facility | None | $4,466.84 | $7,244.36 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $3,467.37 | Professional | None | $1,148.15 | $1,995.26 | $3,467.37 |
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 $1,071.52 Median $2,344.23 Typical High $5,011.87 | Professional | None | $1,071.52 | $2,344.23 | $5,011.87 |
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 $371.54 Median $758.58 Typical High $870.96 | Professional | 52 · Reduced service | $371.54 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $147.91 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,148.15 Typical High $1,318.26 | Professional | 54 · Surgery only | $562.34 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $229.09 Typical High $263.03 | Professional | 55 · Aftercare only | $112.20 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $151.36 Typical High $173.78 | Professional | 56 · Pre-op care only | $74.13 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $1,071.52 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $524.81 | $1,071.52 | $1,230.27 |
Where Wyoming sits
The same service costs 4.9 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· 6th of 51
$2,399
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.