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 $213.80 | Facility | None | $85.11 | $85.11 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $213.80 | Professional | None | $85.11 | $114.82 | $213.80 |
BCBS Wyoming Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
BCBS Wyoming Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $831.76 | Professional | None | $218.78 | $407.38 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,089.30 | $3,388.44 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $398.11 | Professional | None | $123.03 | $208.93 | $398.11 |
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 $123.03 Median $229.09 Typical High $467.74 | Professional | None | $123.03 | $229.09 | $467.74 |
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 $107.15 | Professional | 52 · Reduced service | $42.66 | $57.54 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.91 Typical High $43.65 | Professional | 53 · Discontinued | $16.98 | $22.91 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $85.11 Typical High $162.18 | Professional | 54 · Surgery only | $63.10 | $85.11 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.98 Typical High $32.36 | Professional | 55 · Aftercare only | $12.59 | $16.98 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.48 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.51 | $11.48 | $21.38 |
Where Wyoming sits
The same service costs 4.5 times more in Alaska 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· 3rd of 51
$339
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.