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 $245.47 Median $309.03 Typical High $407.38 | Facility | None | $245.47 | $309.03 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $407.38 | Professional | None | $245.47 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $66.07 | $79.43 | $81.28 |
BCBS Wyoming Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $831.76 | Professional | None | $588.84 | $724.44 | $831.76 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $501.19 Typical High $588.84 | Professional | 53 · Discontinued | $407.38 | $501.19 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | None | $457.09 | $457.09 | $630.96 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $831.76 | Professional | None | $436.52 | $616.60 | $831.76 |
3 more rates 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 $165.96 Median $199.53 Typical High $204.17 | Professional | 52 · Reduced service | $165.96 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $60.26 Typical High $61.66 | Professional | 55 · Aftercare only | $48.98 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $39.81 Typical High $40.74 | Professional | 56 · Pre-op care only | $33.11 | $39.81 | $40.74 |
Where Wyoming sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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· 1st of 51
$661
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.