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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
BCBS Wyoming Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | None | $251.19 | $309.03 | $309.03 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $218.78 | $218.78 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $63.10 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.12 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $275.42 | Professional | None | $169.82 | $169.82 | $275.42 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $549.54 | Professional | None | $239.88 | $316.23 | $549.54 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Where Wyoming sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 2nd of 51
$309
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.