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 $269.15 Median $269.15 Typical High $302.00 | Facility | None | $269.15 | $269.15 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $537.03 | Professional | None | $269.15 | $302.00 | $537.03 |
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 $524.81 Median $794.33 Typical High $891.25 | Professional | None | $524.81 | $794.33 | $891.25 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $870.96 Typical High $1,318.26 | Professional | 50 · Both sides | $524.81 | $870.96 | $1,318.26 |
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 $338.84 Median $407.38 Typical High $645.65 | Professional | None | $338.84 | $407.38 | $645.65 |
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 $269.15 Median $489.78 Typical High $851.14 | Professional | None | $269.15 | $489.78 | $851.14 |
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 $134.90 Median $151.36 Typical High $263.03 | Professional | 52 · Reduced service | $134.90 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $60.26 Typical High $107.15 | Professional | 53 · Discontinued | $53.70 | $60.26 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $223.87 Typical High $398.11 | Professional | 54 · Surgery only | $199.53 | $223.87 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $44.67 Typical High $79.43 | Professional | 55 · Aftercare only | $39.81 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $30.20 Typical High $53.70 | Professional | 56 · Pre-op care only | $26.92 | $30.20 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $208.93 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $186.21 | $208.93 | $371.54 |
Where Wyoming sits
The same service costs 5.4 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
$575
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.