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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | None | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
BCBS Wyoming Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $93.33 | Professional | None | $79.43 | $93.33 | $93.33 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $56.23 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Facility | None | $109.65 | $109.65 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $83.18 | Professional | None | $58.88 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
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 $28.84 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.03 |
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· 2nd of 51
$79.43
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.