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 $331.13 Median $331.13 Typical High $524.81 | Facility | None | $331.13 | $331.13 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $660.69 | Professional | None | $331.13 | $501.19 | $660.69 |
BCBS Wyoming Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Wyoming Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,479.11 | Professional | None | $645.65 | $977.24 | $1,479.11 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,479.11 Typical High $2,238.72 | Professional | 50 · Both sides | $954.99 | $1,479.11 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,238.72 | Facility | None | $954.99 | $1,584.89 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $1,122.02 | Professional | None | $416.87 | $660.69 | $1,122.02 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $5,370.32 | Facility | None | $660.69 | $1,288.25 | $5,370.32 |
United Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,318.26 | Professional | None | $457.09 | $724.44 | $1,318.26 |
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 $165.96 Median $251.19 Typical High $331.13 | Professional | 52 · Reduced service | $165.96 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $131.83 | Professional | 53 · Discontinued | $66.07 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $380.19 Typical High $501.19 | Professional | 54 · Surgery only | $251.19 | $380.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $75.86 Typical High $100.00 | Professional | 55 · Aftercare only | $50.12 | $75.86 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $50.12 Typical High $66.07 | Professional | 56 · Pre-op care only | $33.11 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $354.81 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $234.42 | $354.81 | $467.74 |
Where Wyoming sits
The same service costs 5.1 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· 3rd of 51
$977
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.