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 $23.44 Median $23.44 Typical High $26.30 | Facility | None | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $26.30 | Professional | None | $23.44 | $25.70 | $26.30 |
BCBS Wyoming Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $45.71 | Professional | None | $33.11 | $39.81 | $45.71 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $28.18 | $32.36 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.94 Typical High $9.12 | Professional | 55 · Aftercare only | $6.61 | $7.94 | $9.12 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.98 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.31 | $3.98 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $39.81 | Professional | None | $27.54 | $35.48 | $39.81 |
United Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $54.95 | Professional | None | $28.18 | $41.69 | $54.95 |
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 $11.75 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $11.75 | $12.88 | $13.18 |
Where Wyoming sits
The same service costs 2.7 times more in North Dakota 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· 8th of 51
$37.15
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.