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 $54.95 Median $54.95 Typical High $114.82 | Facility | None | $54.95 | $54.95 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $144.54 | Professional | None | $53.70 | $107.15 | $144.54 |
BCBS Wyoming Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Wyoming Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $363.08 | Professional | None | $109.65 | $208.93 | $363.08 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $263.03 Typical High $537.03 | Professional | 50 · Both sides | $109.65 | $263.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $288.40 | Facility | None | $125.89 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $173.78 Typical High $234.42 | Professional | None | $93.33 | $173.78 | $234.42 |
United Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $3,162.28 | Facility | None | $501.19 | $794.33 | $3,162.28 |
United Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $371.54 | Professional | None | $95.50 | $177.83 | $371.54 |
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 $26.92 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $26.92 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $21.38 Typical High $26.92 | Professional | 53 · Discontinued | $10.72 | $21.38 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $79.43 Typical High $102.33 | Professional | 54 · Surgery only | $40.74 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $15.85 Typical High $20.42 | Professional | 55 · Aftercare only | $8.13 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.72 Typical High $13.49 | Professional | 56 · Pre-op care only | $5.37 | $10.72 | $13.49 |
Where Wyoming sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 6th of 51
$174
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.