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 $100.00 Median $100.00 Typical High $114.82 | Facility | None | $100.00 | $100.00 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $151.36 | Professional | None | $100.00 | $114.82 | $151.36 |
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 $204.17 Median $302.00 Typical High $346.74 | Professional | None | $204.17 | $302.00 | $346.74 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $457.09 Typical High $524.81 | Professional | 50 · Both sides | $302.00 | $457.09 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $288.40 | Facility | None | $123.03 | $199.53 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | None | $138.04 | $162.18 | $263.03 |
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 $117.49 Median $204.17 Typical High $354.81 | Professional | None | $117.49 | $204.17 | $354.81 |
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 $50.12 Median $57.54 Typical High $102.33 | Professional | 52 · Reduced service | $50.12 | $57.54 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $40.74 | Professional | 53 · Discontinued | $19.95 | $22.91 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $87.10 Typical High $151.36 | Professional | 54 · Surgery only | $75.86 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.38 Typical High $30.20 | Professional | 55 · Aftercare only | $15.14 | $17.38 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.48 Typical High $20.42 | Professional | 56 · Pre-op care only | $10.00 | $11.48 | $20.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $70.79 Median $81.28 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $70.79 | $81.28 | $141.25 |
Where Wyoming sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$229
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.