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 $18.62 Median $18.62 Typical High $35.48 | Facility | None | $18.62 | $18.62 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $33.88 Typical High $39.81 | Professional | None | $18.62 | $33.88 | $39.81 |
BCBS Wyoming Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Wyoming Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $100.00 | Professional | None | $33.88 | $61.66 | $100.00 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $33.88 Median $77.62 Typical High $151.36 | Professional | 50 · Both sides | $33.88 | $77.62 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $40.74 Typical High $72.44 | Professional | None | $25.12 | $40.74 | $72.44 |
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 $31.62 Median $57.54 Typical High $138.04 | Professional | None | $31.62 | $57.54 | $138.04 |
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 $9.33 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $9.33 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $3.72 | $6.76 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $5.13 Typical High $5.89 | Professional | 55 · Aftercare only | $2.82 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $3.39 Typical High $3.98 | Professional | 56 · Pre-op care only | $1.86 | $3.39 | $3.98 |
Where Wyoming sits
The same service costs 3.8 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· 9th of 51
$52.48
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.