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 $100.00 Median $100.00 Typical High $134.90 | Facility | None | $100.00 | $100.00 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $199.53 | Professional | None | $100.00 | $131.83 | $199.53 |
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 $190.55 Median $288.40 Typical High $398.11 | Professional | None | $190.55 | $288.40 | $398.11 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $398.11 Typical High $602.56 | Professional | 50 · Both sides | $190.55 | $398.11 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $323.59 | Facility | None | $138.04 | $223.87 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | None | $138.04 | $186.21 | $295.12 |
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 $128.82 Median $213.80 Typical High $389.05 | Professional | None | $128.82 | $213.80 | $389.05 |
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 $50.12 Median $67.61 Typical High $100.00 | Professional | 52 · Reduced service | $50.12 | $67.61 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $39.81 | Professional | 53 · Discontinued | $19.95 | $26.92 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $20.42 Typical High $30.20 | Professional | 55 · Aftercare only | $14.79 | $20.42 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $13.49 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.00 | $13.49 | $19.95 |
Where Wyoming sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$263
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.