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 $67.61 Median $67.61 Typical High $91.20 | Facility | None | $67.61 | $67.61 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $154.88 | Professional | None | $66.07 | $85.11 | $154.88 |
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 $134.90 Median $218.78 Typical High $295.12 | Professional | None | $134.90 | $218.78 | $295.12 |
BCBS Wyoming Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $275.42 Typical High $446.68 | Professional | 50 · Both sides | $134.90 | $275.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $162.18 | Facility | None | $69.18 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $194.98 | Professional | None | $93.33 | $114.82 | $194.98 |
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 $89.13 Median $141.25 Typical High $269.15 | Professional | None | $89.13 | $141.25 | $269.15 |
2 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 54 · Surgery only Typical Low $50.12 Median $64.57 Typical High $123.03 | Professional | 54 · Surgery only | $50.12 | $64.57 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $46.77 Median $60.26 Typical High $114.82 | Professional | 78 · Unplanned return to OR | $46.77 | $60.26 | $114.82 |
Where Wyoming sits
The same service costs 3.9 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
$182
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.