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 $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $257.04 | Professional | None | $107.15 | $151.36 | $257.04 |
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 $213.80 Median $346.74 Typical High $501.19 | Professional | None | $213.80 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $331.13 | Facility | None | $141.25 | $229.09 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $323.59 | Professional | None | $147.91 | $190.55 | $323.59 |
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 $151.36 Median $234.42 Typical High $436.52 | Professional | None | $151.36 | $234.42 | $436.52 |
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 $53.70 Median $75.86 Typical High $128.82 | Professional | 52 · Reduced service | $53.70 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.20 Typical High $51.29 | Professional | 53 · Discontinued | $21.38 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $112.20 Typical High $190.55 | Professional | 54 · Surgery only | $79.43 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $22.39 Typical High $38.02 | Professional | 55 · Aftercare only | $16.22 | $22.39 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $15.14 Typical High $25.70 | Professional | 56 · Pre-op care only | $10.72 | $15.14 | $25.70 |
Where Wyoming sits
The same service costs 3.5 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
$309
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.