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 $194.98 Median $194.98 Typical High $281.84 | Facility | None | $194.98 | $194.98 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $218.78 Typical High $281.84 | Professional | None | $190.55 | $218.78 | $281.84 |
BCBS Wyoming Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $489.78 | Professional | None | $281.84 | $346.74 | $489.78 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $239.88 Typical High $346.74 | Professional | 53 · Discontinued | $194.98 | $239.88 | $346.74 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | 55 · Aftercare only | $56.23 | $69.18 | $97.72 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $34.67 Typical High $48.98 | Professional | 56 · Pre-op care only | $28.18 | $34.67 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $426.58 | Professional | None | $223.87 | $302.00 | $426.58 |
United Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $512.86 | Professional | None | $275.42 | $354.81 | $512.86 |
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 $97.72 Median $109.65 Typical High $141.25 | Professional | 52 · Reduced service | $97.72 | $109.65 | $141.25 |
Where Wyoming sits
The same service costs 2.7 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· 5th of 51
$347
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.