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 $19.05 Median $19.05 Typical High $33.88 | Facility | None | $19.05 | $19.05 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $39.81 | Professional | None | $19.05 | $30.90 | $39.81 |
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 $33.88 Median $61.66 Typical High $93.33 | Professional | None | $33.88 | $61.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $63.10 | Facility | None | $26.92 | $43.65 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $39.81 Typical High $69.18 | Professional | None | $24.55 | $39.81 | $69.18 |
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 $31.62 Median $56.23 Typical High $147.91 | Professional | None | $31.62 | $56.23 | $147.91 |
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 $9.55 Median $15.49 Typical High $19.95 | Professional | 52 · Reduced service | $9.55 | $15.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.17 Typical High $7.94 | Professional | 53 · Discontinued | $3.80 | $6.17 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $4.68 Typical High $6.03 | Professional | 55 · Aftercare only | $2.82 | $4.68 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $3.09 Typical High $3.98 | Professional | 56 · Pre-op care only | $1.91 | $3.09 | $3.98 |
Where Wyoming sits
The same service costs 3.5 times more in Alaska than in Virginia. 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
$52.48
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.