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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $17.78 | Professional | None | $14.13 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.82 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.14 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.41 | $1.58 | $1.58 |
BCBS Wyoming Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | None | $22.91 | $28.18 | $28.18 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.50 | $19.50 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $4.57 | $5.62 | $5.62 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.29 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $32.36 | Professional | None | $18.62 | $25.12 | $32.36 |
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 $7.08 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.08 | $7.94 | $7.94 |
Where Wyoming sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 7th of 51
$24.55
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.