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 $316.23 Median $316.23 Typical High $467.74 | Facility | None | $316.23 | $316.23 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $645.65 | Professional | None | $316.23 | $436.52 | $645.65 |
BCBS Wyoming Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Wyoming Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,318.26 | Professional | None | $602.56 | $912.01 | $1,318.26 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $1,318.26 Typical High $1,995.26 | Professional | 50 · Both sides | $602.56 | $1,318.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,778.28 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $1,047.13 | Professional | None | $426.58 | $630.96 | $1,047.13 |
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 $436.52 Median $758.58 Typical High $1,288.25 | Professional | None | $436.52 | $758.58 | $1,288.25 |
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 $154.88 Median $223.87 Typical High $323.59 | Professional | 52 · Reduced service | $154.88 | $223.87 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $91.20 Typical High $128.82 | Professional | 53 · Discontinued | $63.10 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $338.84 Typical High $478.63 | Professional | 54 · Surgery only | $234.42 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $67.61 Typical High $97.72 | Professional | 55 · Aftercare only | $46.77 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $44.67 Typical High $64.57 | Professional | 56 · Pre-op care only | $31.62 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $218.78 | $316.23 | $446.68 |
Where Wyoming sits
The same service costs 4.9 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· 3rd of 51
$871
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.