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 $117.49 Median $117.49 Typical High $181.97 | Facility | None | $117.49 | $117.49 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $281.84 | Professional | None | $117.49 | $173.78 | $281.84 |
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 $234.42 Median $380.19 Typical High $575.44 | Professional | None | $234.42 | $380.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $407.38 | Facility | None | $173.78 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $371.54 | Professional | None | $165.96 | $218.78 | $371.54 |
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 $165.96 Median $275.42 Typical High $501.19 | Professional | None | $165.96 | $275.42 | $501.19 |
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 $57.54 Median $87.10 Typical High $141.25 | Professional | 52 · Reduced service | $57.54 | $87.10 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $34.67 Typical High $56.23 | Professional | 53 · Discontinued | $23.44 | $34.67 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $131.83 Typical High $208.93 | Professional | 54 · Surgery only | $87.10 | $131.83 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $26.30 Typical High $41.69 | Professional | 55 · Aftercare only | $17.38 | $26.30 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $17.38 Typical High $28.18 | Professional | 56 · Pre-op care only | $11.75 | $17.38 | $28.18 |
Where Wyoming sits
The same service costs 3.3 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· 3rd of 51
$363
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.