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 $309.03 Median $309.03 Typical High $478.63 | Facility | None | $309.03 | $309.03 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | None | $309.03 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $61.66 | $72.44 | $95.50 |
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 $794.33 Median $1,230.27 Typical High $1,905.46 | Professional | None | $794.33 | $1,230.27 | $1,905.46 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $870.96 Typical High $1,348.96 | Professional | 53 · Discontinued | $562.34 | $870.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,348.96 | Facility | None | $588.84 | $954.99 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $891.25 | Professional | None | $363.08 | $512.86 | $891.25 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $17,782.79 | Facility | None | $2,951.21 | $5,128.61 | $17,782.79 |
United Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $1,148.15 | Professional | None | $380.19 | $630.96 | $1,148.15 |
5 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 $151.36 Median $177.83 Typical High $239.88 | Professional | 52 · Reduced service | $151.36 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | 54 · Surgery only | $229.09 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $36.31 Typical High $47.86 | Professional | 56 · Pre-op care only | $30.90 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $251.19 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $213.80 | $251.19 | $338.84 |
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· 2nd of 51
$955
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.