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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
BCBS Wyoming Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | None | $107.15 | $131.83 | $131.83 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $93.33 | $93.33 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $26.30 | $26.30 |
BCBS Wyoming Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.72 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | None | $67.61 | $67.61 | $117.49 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $239.88 | Professional | None | $102.33 | $138.04 | $239.88 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Where Wyoming sits
The same service costs 2.5 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
$132
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.