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 $109.65 Median $109.65 Typical High $229.09 | Facility | None | $109.65 | $109.65 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $229.09 | Professional | None | $109.65 | $147.91 | $229.09 |
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 $288.40 Median $537.03 Typical High $891.25 | Professional | None | $288.40 | $537.03 | $891.25 |
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 $162.18 Median $251.19 Typical High $436.52 | Professional | None | $162.18 | $251.19 | $436.52 |
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 $169.82 Median $281.84 Typical High $549.54 | Professional | None | $169.82 | $281.84 | $549.54 |
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 $54.95 Median $74.13 Typical High $114.82 | Professional | 52 · Reduced service | $54.95 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $45.71 | Professional | 53 · Discontinued | $21.88 | $30.20 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $112.20 Typical High $173.78 | Professional | 54 · Surgery only | $83.18 | $112.20 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.39 Typical High $34.67 | Professional | 55 · Aftercare only | $16.60 | $22.39 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $14.79 Typical High $22.91 | Professional | 56 · Pre-op care only | $10.96 | $14.79 | $22.91 |
Where Wyoming sits
The same service costs 3.8 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· 2nd of 51
$447
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.