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 $42.66 Median $42.66 Typical High $85.11 | Facility | None | $42.66 | $42.66 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $85.11 Typical High $91.20 | Professional | None | $42.66 | $85.11 | $91.20 |
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 $83.18 Median $151.36 Typical High $257.04 | Professional | None | $83.18 | $151.36 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $245.47 | Facility | None | $104.71 | $169.82 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $186.21 | Professional | None | $61.66 | $104.71 | $186.21 |
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 $61.66 Median $117.49 Typical High $218.78 | Professional | None | $61.66 | $117.49 | $218.78 |
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 $21.38 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $21.38 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $16.98 Typical High $18.20 | Professional | 53 · Discontinued | $8.51 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $12.59 Typical High $13.80 | Professional | 55 · Aftercare only | $6.46 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $8.51 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.27 | $8.51 | $9.12 |
Where Wyoming sits
The same service costs 3.9 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· 4th of 51
$126
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.