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 $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $316.23 | Professional | None | $134.90 | $177.83 | $316.23 |
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 $269.15 Median $436.52 Typical High $602.56 | Professional | None | $269.15 | $436.52 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $354.81 | Facility | None | $151.36 | $251.19 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $389.05 | Professional | None | $186.21 | $239.88 | $389.05 |
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 $186.21 Median $281.84 Typical High $537.03 | Professional | None | $186.21 | $281.84 | $537.03 |
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 $67.61 Median $89.13 Typical High $158.49 | Professional | 52 · Reduced service | $67.61 | $89.13 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $35.48 Typical High $63.10 | Professional | 53 · Discontinued | $26.92 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $131.83 Typical High $234.42 | Professional | 54 · Surgery only | $100.00 | $131.83 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $26.92 Typical High $47.86 | Professional | 55 · Aftercare only | $19.95 | $26.92 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $17.78 Typical High $31.62 | Professional | 56 · Pre-op care only | $13.49 | $17.78 | $31.62 |
Where Wyoming sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$372
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.