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 $52.48 Median $52.48 Typical High $107.15 | Facility | None | $52.48 | $52.48 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | None | $52.48 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.98 Typical High $22.91 | Professional | 53 · Discontinued | $10.47 | $16.98 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $12.59 Typical High $16.98 | Professional | 55 · Aftercare only | $7.94 | $12.59 | $16.98 |
BCBS Wyoming Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $186.21 | Professional | None | $89.13 | $89.13 | $186.21 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | 53 · Discontinued | $63.10 | $63.10 | $128.82 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $37.15 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $81.28 Typical High $102.33 | Professional | None | $45.71 | $81.28 | $102.33 |
United Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $177.83 | Professional | None | $46.77 | $97.72 | $177.83 |
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 52 · Reduced service Typical Low $26.30 Median $42.66 Typical High $56.23 | Professional | 52 · Reduced service | $26.30 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $8.51 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.25 | $8.51 | $11.22 |
Where Wyoming sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 11th of 51
$89.13
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.