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 $67.61 Median $67.61 Typical High $95.50 | Facility | None | $67.61 | $67.61 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $134.90 | Professional | None | $67.61 | $95.50 | $134.90 |
BCBS Wyoming Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Wyoming Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $281.84 | Professional | None | $128.82 | $194.98 | $281.84 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $281.84 Typical High $426.58 | Professional | 50 · Both sides | $128.82 | $281.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $251.19 | Facility | None | $107.15 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $213.80 | Professional | None | $91.20 | $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 $87.10 Median $151.36 Typical High $257.04 | Professional | None | $87.10 | $151.36 | $257.04 |
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 $33.88 Median $47.86 Typical High $67.61 | Professional | 52 · Reduced service | $33.88 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $19.05 Typical High $26.92 | Professional | 53 · Discontinued | $13.49 | $19.05 | $26.92 |
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 $6.76 Median $9.55 Typical High $13.49 | Professional | 56 · Pre-op care only | $6.76 | $9.55 | $13.49 |
Where Wyoming sits
The same service costs 3.7 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· 3rd of 51
$186
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.