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 $144.54 Median $144.54 Typical High $208.93 | Facility | None | $144.54 | $144.54 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $208.93 | Professional | None | $144.54 | $177.83 | $208.93 |
BCBS Wyoming Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $371.54 | Professional | None | $204.17 | $251.19 | $371.54 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $173.78 Typical High $263.03 | Professional | 53 · Discontinued | $141.25 | $173.78 | $263.03 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $50.12 Typical High $74.13 | Professional | 55 · Aftercare only | $40.74 | $50.12 | $74.13 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $25.12 Typical High $37.15 | Professional | 56 · Pre-op care only | $20.42 | $25.12 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $354.81 | Professional | None | $147.91 | $218.78 | $354.81 |
United Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $512.86 | Professional | None | $194.98 | $288.40 | $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 $72.44 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $83.18 | $104.71 |
Where Wyoming sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$251
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.