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 $85.11 Median $85.11 Typical High $1,023.29 | Facility | None | $85.11 | $85.11 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $1,023.29 | Professional | None | $85.11 | $114.82 | $1,023.29 |
BCBS Wyoming Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS Wyoming Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $3,801.89 | Professional | None | $223.87 | $416.87 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $2,238.72 | Facility | None | $954.99 | $1,548.82 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $724.44 Typical High $1,819.70 | Professional | None | $128.82 | $724.44 | $1,819.70 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,288.25 Typical High $5,370.32 | Facility | None | $660.69 | $1,288.25 | $5,370.32 |
United Setting Professional Modifier None Typical Low $128.82 Median $676.08 Typical High $1,995.26 | Professional | None | $128.82 | $676.08 | $1,995.26 |
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 $42.66 Median $57.54 Typical High $512.86 | Professional | 52 · Reduced service | $42.66 | $57.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.91 Typical High $204.17 | Professional | 53 · Discontinued | $16.98 | $22.91 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $85.11 Typical High $776.25 | Professional | 54 · Surgery only | $63.10 | $85.11 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $17.38 Typical High $154.88 | Professional | 55 · Aftercare only | $12.88 | $17.38 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.48 Typical High $102.33 | Professional | 56 · Pre-op care only | $8.51 | $11.48 | $102.33 |
Where Wyoming sits
The same service costs 14.1 times more in Washington 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· 41st of 51
$417
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.