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 $245.47 Median $245.47 Typical High $251.19 | Facility | None | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $489.78 | Professional | None | $245.47 | $251.19 | $489.78 |
BCBS Wyoming Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Wyoming Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $724.44 | Professional | None | $478.63 | $724.44 | $724.44 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $724.44 Typical High $1,096.48 | Professional | 50 · Both sides | $478.63 | $724.44 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,951.21 | Facility | None | $1,288.25 | $2,089.30 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $537.03 | Professional | None | $309.03 | $346.74 | $537.03 |
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 $239.88 Median $416.87 Typical High $741.31 | Professional | None | $239.88 | $416.87 | $741.31 |
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 $123.03 Median $123.03 Typical High $245.47 | Professional | 52 · Reduced service | $123.03 | $123.03 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $97.72 | Professional | 53 · Discontinued | $48.98 | $50.12 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $186.21 Typical High $363.08 | Professional | 54 · Surgery only | $181.97 | $186.21 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $72.44 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $48.98 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $173.78 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $169.82 | $173.78 | $338.84 |
Where Wyoming sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 8th of 51
$479
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.