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 $114.82 Median $114.82 Typical High $162.18 | Facility | None | $114.82 | $114.82 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None | $114.82 | $158.49 | $275.42 |
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 $524.81 | Professional | None | $234.42 | $380.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $323.59 | Facility | None | $141.25 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $338.84 | Professional | None | $162.18 | $208.93 | $338.84 |
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 $162.18 Median $245.47 Typical High $467.74 | Professional | None | $162.18 | $245.47 | $467.74 |
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 $77.62 Typical High $138.04 | Professional | 52 · Reduced service | $57.54 | $77.62 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $31.62 Typical High $54.95 | Professional | 53 · Discontinued | $22.91 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $117.49 Typical High $204.17 | Professional | 54 · Surgery only | $87.10 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $17.38 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.85 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.48 | $15.85 | $27.54 |
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
$324
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.