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 $281.84 Median $281.84 Typical High $316.23 | Facility | None | $281.84 | $281.84 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $549.54 | Professional | None | $281.84 | $316.23 | $549.54 |
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 $537.03 Median $812.83 Typical High $912.01 | Professional | None | $537.03 | $812.83 | $912.01 |
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 $389.05 Median $446.68 Typical High $707.95 | Professional | None | $389.05 | $446.68 | $707.95 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,471.29 | Facility | None | $1,698.24 | $2,630.27 | $10,471.29 |
United Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $1,023.29 | Professional | None | $354.81 | $549.54 | $1,023.29 |
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 $141.25 Median $158.49 Typical High $288.40 | Professional | 52 · Reduced service | $141.25 | $158.49 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $114.82 | Professional | 53 · Discontinued | $56.23 | $63.10 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $239.88 Typical High $436.52 | Professional | 54 · Surgery only | $213.80 | $239.88 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $47.86 Typical High $87.10 | Professional | 55 · Aftercare only | $42.66 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $31.62 Typical High $57.54 | Professional | 56 · Pre-op care only | $28.18 | $31.62 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $223.87 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $199.53 | $223.87 | $407.38 |
Where Wyoming sits
The same service costs 6.8 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
$617
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.