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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,162.28 | Professional | None | $2,884.03 | $2,884.03 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
BCBS Wyoming Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,235.94 | $3,311.31 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $1,949.84 Median $2,290.87 Typical High $2,344.23 | Professional | 53 · Discontinued | $1,949.84 | $2,290.87 | $2,344.23 |
BCBS Wyoming Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $645.65 Typical High $660.69 | Professional | 55 · Aftercare only | $549.54 | $645.65 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $10,964.78 | Facility | None | $5,370.32 | $5,370.32 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $4,073.80 | Professional | None | $2,884.03 | $4,073.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
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· 4th of 51
$3,236
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.