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 $44.67 Median $44.67 Typical High $64.57 | Facility | None | $44.67 | $44.67 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $91.20 | Professional | None | $44.67 | $60.26 | $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 $85.11 Median $128.82 Typical High $190.55 | Professional | None | $85.11 | $128.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $131.83 | Facility | None | $56.23 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $138.04 | Professional | None | $60.26 | $87.10 | $138.04 |
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 $97.72 Typical High $177.83 | Professional | None | $61.66 | $97.72 | $177.83 |
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 $22.39 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $22.39 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $12.88 Typical High $18.20 | Professional | 53 · Discontinued | $8.91 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $9.55 Typical High $13.49 | Professional | 55 · Aftercare only | $6.61 | $9.55 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.46 Typical High $9.12 | Professional | 56 · Pre-op care only | $4.47 | $6.46 | $9.12 |
Where Wyoming sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$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.