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 $28.18 Median $28.18 Typical High $42.66 | Facility | None | $28.18 | $28.18 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $42.66 Typical High $58.88 | Professional | None | $28.18 | $42.66 | $58.88 |
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 $53.70 Median $83.18 Typical High $125.89 | Professional | None | $53.70 | $83.18 | $125.89 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $120.23 Typical High $190.55 | Professional | 50 · Both sides | $53.70 | $120.23 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $56.23 Typical High $81.28 | Facility | None | $34.67 | $56.23 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $95.50 | Professional | None | $38.90 | $58.88 | $95.50 |
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 $40.74 Median $69.18 Typical High $144.54 | Professional | None | $40.74 | $69.18 | $144.54 |
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 $14.13 Median $21.38 Typical High $29.51 | Professional | 52 · Reduced service | $14.13 | $21.38 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.51 Typical High $11.75 | Professional | 53 · Discontinued | $5.62 | $8.51 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $6.46 Typical High $8.91 | Professional | 55 · Aftercare only | $4.27 | $6.46 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.27 Typical High $5.89 | Professional | 56 · Pre-op care only | $2.82 | $4.27 | $5.89 |
Where Wyoming sits
The same service costs 3.3 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· 3rd of 51
$81.28
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.