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 $69.18 Median $69.18 Typical High $97.72 | Facility | None | $69.18 | $69.18 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $138.04 | Professional | None | $69.18 | $97.72 | $138.04 |
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 $131.83 Median $199.53 Typical High $288.40 | Professional | None | $131.83 | $199.53 | $288.40 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $281.84 Typical High $436.52 | Professional | 50 · Both sides | $131.83 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $251.19 | Facility | None | $109.65 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $213.80 | Professional | None | $93.33 | $128.82 | $213.80 |
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 $89.13 Median $151.36 Typical High $263.03 | Professional | None | $89.13 | $151.36 | $263.03 |
4 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 $34.67 Median $48.98 Typical High $69.18 | Professional | 52 · Reduced service | $34.67 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $27.54 | Professional | 53 · Discontinued | $13.80 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.45 Typical High $20.42 | Professional | 55 · Aftercare only | $10.23 | $14.45 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.77 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.92 | $9.77 | $13.80 |
Where Wyoming sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$191
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.