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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | None | $38.02 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.03 |
BCBS Wyoming Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None | $52.48 | $61.66 | $61.66 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $43.65 | $43.65 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $144.54 | Facility | None | $72.44 | $72.44 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $53.70 | Professional | None | $38.02 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $19.05 Median $19.05 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.98 |
Where Wyoming sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 4th of 51
$52.48
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.