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 $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $398.11 | Professional | None | $199.53 | $239.88 | $398.11 |
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 $398.11 Median $602.56 Typical High $707.95 | Professional | None | $398.11 | $602.56 | $707.95 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $707.95 Typical High $1,071.52 | Professional | 50 · Both sides | $398.11 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $457.09 | Facility | None | $199.53 | $323.59 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $478.63 | Professional | None | $199.53 | $281.84 | $478.63 |
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 $186.21 Median $389.05 Typical High $549.54 | Professional | None | $186.21 | $389.05 | $549.54 |
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 $100.00 Median $120.23 Typical High $199.53 | Professional | 52 · Reduced service | $100.00 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $79.43 | Professional | 53 · Discontinued | $39.81 | $47.86 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $181.97 Typical High $302.00 | Professional | 54 · Surgery only | $151.36 | $181.97 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $36.31 Typical High $60.26 | Professional | 55 · Aftercare only | $30.20 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.99 Typical High $39.81 | Professional | 56 · Pre-op care only | $19.95 | $23.99 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $169.82 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $141.25 | $169.82 | $281.84 |
Where Wyoming sits
The same service costs 5.0 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· 4th of 51
$437
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.