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 $389.05 Median $389.05 Typical High $977.24 | Facility | None | $389.05 | $389.05 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $977.24 | Professional | None | $389.05 | $562.34 | $977.24 |
BCBS Wyoming Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Wyoming Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $3,630.78 | Professional | None | $977.24 | $1,819.70 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,691.53 | Facility | None | $1,148.15 | $1,905.46 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,348.96 Typical High $4,265.80 | Professional | None | $562.34 | $1,348.96 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $10,471.29 | Facility | None | $1,698.24 | $2,630.27 | $10,471.29 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,165.95 | Professional | None | $575.44 | $1,380.38 | $6,165.95 |
2 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 54 · Surgery only Typical Low $295.12 Median $416.87 Typical High $741.31 | Professional | 54 · Surgery only | $295.12 | $416.87 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $389.05 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $275.42 | $389.05 | $691.83 |
Where Wyoming sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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
$1,514
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.