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 $72.44 Median $72.44 Typical High $74.13 | Facility | None | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | None | $64.57 | $72.44 | $81.28 |
BCBS Wyoming Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $128.82 | Professional | None | $102.33 | $125.89 | $128.82 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $72.44 | $89.13 | $89.13 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $25.12 Typical High $25.70 | Professional | 55 · Aftercare only | $20.42 | $25.12 | $25.70 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.59 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.23 | $12.59 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $158.49 | Professional | None | $72.44 | $117.49 | $158.49 |
United Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $154.88 | Professional | None | $93.33 | $120.23 | $154.88 |
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 $32.36 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $36.31 | $37.15 |
Where Wyoming sits
The same service costs 3.0 times more in Alaska than in New York. 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
$123
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.