How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,951 to $17,783Professionalmedian $479 · 10th to 90th $372 to $912
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 |
|---|---|---|---|---|---|
BCBS Wyoming Setting Facility Modifier 26 · Professional part Typical Low $371.54 Median $457.09 Typical High $457.09 | Facility | 26 · Professional part | $371.54 | $457.09 | $457.09 |
BCBS Wyoming Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $371.54 | $457.09 | $457.09 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $257.04 | $316.23 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $407.38 Typical High $691.83 | Professional | 26 · Professional part | $371.54 | $407.38 | $691.83 |
4 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 Facility Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 54 · Surgery only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $204.17 | $204.17 | $204.17 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $17,782.79 | Facility | None | $2,951.21 | $5,128.61 | $17,782.79 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $371.54 | $478.63 | $912.01 |