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 $102.33 Median $125.89 Typical High $169.82 | Facility | None | $102.33 | $125.89 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $204.17 | Professional | None | $102.33 | $134.90 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $25.12 |
BCBS Wyoming Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | None | $194.98 | $239.88 | $302.00 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | 53 · Discontinued | $134.90 | $165.96 | $208.93 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $47.86 Typical High $60.26 | Professional | 55 · Aftercare only | $38.90 | $47.86 | $60.26 |
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 $131.83 Median $199.53 Typical High $275.42 | Professional | None | $131.83 | $199.53 | $275.42 |
United Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $309.03 | Professional | None | $173.78 | $239.88 | $309.03 |
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 $67.61 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.80 Typical High $16.98 | Professional | 56 · Pre-op care only | $13.49 | $13.80 | $16.98 |
Where Wyoming sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 4th of 51
$219
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.