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 $87.10 Median $87.10 Typical High $102.33 | Facility | None | $87.10 | $87.10 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $102.33 | Professional | None | $85.11 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $13.80 Typical High $15.49 | Professional | 55 · Aftercare only | $12.88 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.12 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.51 | $9.12 | $10.23 |
BCBS Wyoming Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $181.97 | Professional | None | $123.03 | $151.36 | $181.97 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $85.11 | $104.71 | $128.82 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $30.20 Typical High $36.31 | Professional | 55 · Aftercare only | $24.55 | $30.20 | $36.31 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.14 Typical High $18.20 | Professional | 56 · Pre-op care only | $12.30 | $15.14 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $169.82 | Professional | None | $112.20 | $138.04 | $169.82 |
United Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $251.19 | Professional | None | $120.23 | $165.96 | $251.19 |
1 more rate 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 $42.66 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $45.71 | $51.29 |
Where Wyoming sits
The same service costs 2.5 times more in Alaska than in Florida. 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· 9th of 51
$151
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.