How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $5.89 Median $38.90 Typical High $45.71 | Facility | None | $5.89 | $38.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $1.23 |
BCBS Wyoming Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | None | $9.77 | $11.75 | $11.75 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.13 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $2.00 | $2.29 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $30.90 | Facility | None | $15.49 | $15.49 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $11.48 | Professional | None | $8.13 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
2 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 $4.07 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.81 |
Where Wyoming sits
Rates are fairly even across states for this service. 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· 3rd of 51
$9.77
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.