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 $37.15 Median $54.95 Typical High $288.40 | Facility | None | $37.15 | $54.95 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $54.95 Typical High $85.11 | Professional | None | $37.15 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $8.51 Typical High $10.96 | Professional | 55 · Aftercare only | $7.41 | $8.51 | $10.96 |
BCBS Wyoming Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $128.82 | Professional | None | $69.18 | $83.18 | $128.82 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $91.20 | Professional | 53 · Discontinued | $47.86 | $58.88 | $91.20 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $16.98 Typical High $25.70 | Professional | 55 · Aftercare only | $13.80 | $16.98 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $186.21 | Facility | None | $169.82 | $169.82 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $114.82 | Professional | None | $60.26 | $77.62 | $114.82 |
United Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $134.90 | Professional | None | $72.44 | $93.33 | $134.90 |
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 $24.55 Median $28.18 Typical High $37.15 | Professional | 52 · Reduced service | $24.55 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.62 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.90 | $5.62 | $7.41 |
Where Wyoming sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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· 10th of 51
$83.18
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.