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 $371.54 Median $371.54 Typical High $524.81 | Facility | None | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $758.58 | Professional | None | $371.54 | $489.78 | $758.58 |
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 $707.95 Median $1,071.52 Typical High $1,513.56 | Professional | None | $707.95 | $1,071.52 | $1,513.56 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,479.11 Typical High $2,238.72 | Professional | 50 · Both sides | $707.95 | $1,479.11 | $2,238.72 |
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 $501.19 Median $724.44 Typical High $1,174.90 | Professional | None | $501.19 | $724.44 | $1,174.90 |
United Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $3,162.28 | Facility | None | $501.19 | $794.33 | $3,162.28 |
United Setting Professional Modifier None Typical Low $512.86 Median $851.14 Typical High $1,479.11 | Professional | None | $512.86 | $851.14 | $1,479.11 |
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 $186.21 Median $257.04 Typical High $380.19 | Professional | 52 · Reduced service | $186.21 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $151.36 | Professional | 53 · Discontinued | $74.13 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $380.19 Typical High $575.44 | Professional | 54 · Surgery only | $275.42 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $77.62 Typical High $114.82 | Professional | 55 · Aftercare only | $54.95 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $51.29 Typical High $75.86 | Professional | 56 · Pre-op care only | $37.15 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $354.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $257.04 | $354.81 | $537.03 |
Where Wyoming sits
The same service costs 4.8 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· 3rd of 51
$1,000
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.