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 $426.58 | Facility | None | $281.84 | $281.84 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $575.44 | Professional | None | $281.84 | $416.87 | $575.44 |
BCBS Wyoming Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Wyoming Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,202.26 | Professional | None | $537.03 | $812.83 | $1,202.26 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $1,202.26 Typical High $1,819.70 | Professional | 50 · Both sides | $537.03 | $1,202.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $5,623.41 | Facility | None | $2,398.83 | $3,890.45 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $1,071.52 | Professional | None | $457.09 | $676.08 | $1,071.52 |
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 $398.11 Median $691.83 Typical High $1,258.93 | Professional | None | $398.11 | $691.83 | $1,258.93 |
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 $204.17 Typical High $288.40 | Professional | 52 · Reduced service | $141.25 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $56.23 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $309.03 Typical High $436.52 | Professional | 54 · Surgery only | $208.93 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $61.66 Typical High $87.10 | Professional | 55 · Aftercare only | $41.69 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $40.74 Typical High $57.54 | Professional | 56 · Pre-op care only | $28.18 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $288.40 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $194.98 | $288.40 | $407.38 |
Where Wyoming sits
The same service costs 5.9 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
$794
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.