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 $158.49 Median $158.49 Typical High $245.47 | Facility | None | $158.49 | $158.49 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $316.23 | Professional | None | $158.49 | $245.47 | $316.23 |
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 $302.00 Median $489.78 Typical High $741.31 | Professional | None | $302.00 | $489.78 | $741.31 |
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 $218.78 Median $331.13 Typical High $549.54 | Professional | None | $218.78 | $331.13 | $549.54 |
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 $380.19 Typical High $645.65 | Professional | None | $223.87 | $380.19 | $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 $79.43 Median $123.03 Typical High $158.49 | Professional | 52 · Reduced service | $79.43 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $63.10 | Professional | 53 · Discontinued | $31.62 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $186.21 Typical High $234.42 | Professional | 54 · Surgery only | $117.49 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $37.15 Typical High $47.86 | Professional | 55 · Aftercare only | $23.44 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $24.55 Typical High $31.62 | Professional | 56 · Pre-op care only | $15.85 | $24.55 | $31.62 |
Where Wyoming sits
The same service costs 3.9 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· 3rd of 51
$457
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.