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 $173.78 Median $173.78 Typical High $295.12 | Facility | None | $173.78 | $173.78 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $346.74 | Professional | None | $173.78 | $295.12 | $346.74 |
BCBS Wyoming Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
BCBS Wyoming Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $891.25 | Professional | None | $331.13 | $588.84 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $524.81 | Facility | None | $223.87 | $363.08 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $588.84 | Professional | None | $190.55 | $295.12 | $588.84 |
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 $223.87 Median $398.11 Typical High $645.65 | Professional | None | $223.87 | $398.11 | $645.65 |
5 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 $85.11 Median $144.54 Typical High $173.78 | Professional | 52 · Reduced service | $85.11 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $218.78 Typical High $257.04 | Professional | 54 · Surgery only | $128.82 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $43.65 Typical High $51.29 | Professional | 55 · Aftercare only | $25.70 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $29.51 Typical High $34.67 | Professional | 56 · Pre-op care only | $17.38 | $29.51 | $34.67 |
Where Wyoming sits
The same service costs 4.0 times more in Alaska than in Maryland. 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
$501
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.