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 $107.15 Median $107.15 Typical High $141.25 | Facility | None | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $186.21 | Professional | None | $107.15 | $134.90 | $186.21 |
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 $204.17 Median $309.03 Typical High $416.87 | Professional | None | $204.17 | $309.03 | $416.87 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $416.87 Typical High $630.96 | Professional | 50 · Both sides | $204.17 | $416.87 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $323.59 | Facility | None | $141.25 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $309.03 | Professional | None | $144.54 | $190.55 | $309.03 |
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 $131.83 Median $223.87 Typical High $416.87 | Professional | None | $131.83 | $223.87 | $416.87 |
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 $53.70 Median $70.79 Typical High $107.15 | Professional | 52 · Reduced service | $53.70 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $42.66 | Professional | 53 · Discontinued | $21.38 | $28.18 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $21.38 Typical High $32.36 | Professional | 55 · Aftercare only | $15.85 | $21.38 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $14.13 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.72 | $14.13 | $21.38 |
Where Wyoming sits
The same service costs 4.0 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· 3rd of 51
$275
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.