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 $363.08 Median $363.08 Typical High $398.11 | Facility | None | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $724.44 | Professional | None | $363.08 | $398.11 | $724.44 |
BCBS Wyoming Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
BCBS Wyoming Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,148.15 | Professional | None | $707.95 | $1,071.52 | $1,148.15 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,148.15 Typical High $1,737.80 | Professional | 50 · Both sides | $707.95 | $1,148.15 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $457.09 | Facility | None | $199.53 | $323.59 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $851.14 | Professional | None | $467.74 | $549.54 | $851.14 |
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 $371.54 Median $676.08 Typical High $1,174.90 | Professional | None | $371.54 | $676.08 | $1,174.90 |
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 $181.97 Median $194.98 Typical High $363.08 | Professional | 52 · Reduced service | $181.97 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $144.54 | Professional | 53 · Discontinued | $72.44 | $79.43 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $537.03 | Professional | 54 · Surgery only | $269.15 | $295.12 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $107.15 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $501.19 |
Where Wyoming sits
The same service costs 5.1 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· 6th of 51
$759
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.