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 $114.82 Median $114.82 Typical High $147.91 | Facility | None | $114.82 | $114.82 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $234.42 | Professional | None | $114.82 | $147.91 | $234.42 |
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 $213.80 Median $323.59 Typical High $426.58 | Professional | None | $213.80 | $323.59 | $426.58 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $426.58 Typical High $645.65 | Professional | 50 · Both sides | $213.80 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $239.88 | Facility | None | $104.71 | $169.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $316.23 | Professional | None | $151.36 | $194.98 | $316.23 |
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 $147.91 Median $234.42 Typical High $446.68 | Professional | None | $147.91 | $234.42 | $446.68 |
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 $57.54 Median $72.44 Typical High $117.49 | Professional | 52 · Reduced service | $57.54 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $29.51 Typical High $46.77 | Professional | 53 · Discontinued | $22.91 | $29.51 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $21.88 Typical High $35.48 | Professional | 55 · Aftercare only | $17.38 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $14.45 Typical High $23.44 | Professional | 56 · Pre-op care only | $11.48 | $14.45 | $23.44 |
Where Wyoming sits
The same service costs 4.3 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
$282
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.