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 $28.84 Median $28.84 Typical High $87.10 | Facility | None | $28.84 | $28.84 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $104.71 | Professional | None | $28.84 | $38.02 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $17.38 | Professional | 53 · Discontinued | $5.75 | $7.08 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.37 Typical High $12.88 | Professional | 55 · Aftercare only | $4.37 | $5.37 | $12.88 |
BCBS Wyoming Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $147.91 | Professional | None | $40.74 | $51.29 | $147.91 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $104.71 | Professional | 53 · Discontinued | $28.84 | $35.48 | $104.71 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.23 Typical High $29.51 | Professional | 55 · Aftercare only | $8.13 | $10.23 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $97.72 Typical High $144.54 | Professional | None | $38.90 | $97.72 | $144.54 |
United Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $162.18 | Professional | None | $45.71 | $87.10 | $162.18 |
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 $14.45 Median $17.78 Typical High $43.65 | Professional | 52 · Reduced service | $14.45 | $17.78 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.55 Typical High $8.71 | Professional | 56 · Pre-op care only | $2.88 | $3.55 | $8.71 |
Where Wyoming sits
The same service costs 3.6 times more in North Carolina than in Washington, DC. 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· 15th of 51
$87.10
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.