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 $120.23 Median $120.23 Typical High $138.04 | Facility | None | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $245.47 | Professional | None | $117.49 | $138.04 | $245.47 |
BCBS Wyoming Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
BCBS Wyoming Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $446.68 | Professional | None | $239.88 | $389.05 | $446.68 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $416.87 Typical High $676.08 | Professional | 50 · Both sides | $239.88 | $416.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $295.12 | Facility | None | $125.89 | $204.17 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $295.12 | Professional | None | $158.49 | $199.53 | $295.12 |
United Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $3,090.30 | Facility | None | $223.87 | $295.12 | $3,090.30 |
United Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $512.86 | Professional | None | $165.96 | $234.42 | $512.86 |
6 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 $58.88 Median $67.61 Typical High $141.25 | Professional | 52 · Reduced service | $58.88 | $67.61 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $56.23 | Professional | 53 · Discontinued | $23.44 | $26.92 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $102.33 Typical High $213.80 | Professional | 54 · Surgery only | $89.13 | $102.33 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $20.42 Typical High $42.66 | Professional | 55 · Aftercare only | $17.78 | $20.42 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.49 Typical High $28.18 | Professional | 56 · Pre-op care only | $11.75 | $13.49 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $95.50 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $83.18 | $95.50 | $199.53 |
Where Wyoming sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$282
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.