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 $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $173.78 | Professional | None | $87.10 | $123.03 | $173.78 |
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 $169.82 Median $257.04 Typical High $371.54 | Professional | None | $169.82 | $257.04 | $371.54 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $363.08 Typical High $549.54 | Professional | 50 · Both sides | $169.82 | $363.08 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $316.23 | Facility | None | $134.90 | $223.87 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $269.15 | Professional | None | $120.23 | $165.96 | $269.15 |
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 $114.82 Median $194.98 Typical High $338.84 | Professional | None | $114.82 | $194.98 | $338.84 |
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 $43.65 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $43.65 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $34.67 | Professional | 53 · Discontinued | $17.38 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $18.62 Typical High $26.30 | Professional | 55 · Aftercare only | $13.18 | $18.62 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.30 Typical High $17.38 | Professional | 56 · Pre-op care only | $8.71 | $12.30 | $17.38 |
Where Wyoming sits
The same service costs 3.6 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
$245
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.