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 $70.79 Median $70.79 Typical High $83.18 | Facility | None | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | None | $70.79 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.13 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $12.30 |
BCBS Wyoming Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $141.25 | Professional | None | $97.72 | $120.23 | $141.25 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $69.18 | $85.11 | $97.72 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $23.99 Typical High $28.18 | Professional | 55 · Aftercare only | $19.50 | $23.99 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | None | $74.13 | $93.33 | $114.82 |
United Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | None | $102.33 | $128.82 | $173.78 |
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 $35.48 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.32 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.08 | $8.32 | $8.32 |
Where Wyoming sits
The same service costs 8.1 times more in Alaska than in Indiana. 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· 8th of 51
$115
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.