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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $380.19 Typical High $380.19 | Professional | None | $128.82 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $25.70 | $77.62 | $77.62 |
BCBS Wyoming Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $478.63 | Professional | None | $407.38 | $478.63 | $478.63 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $288.40 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $478.63 | Facility | None | $239.88 | $239.88 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $181.97 | Professional | None | $125.89 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
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 $63.10 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $63.10 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $19.05 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $12.88 | $38.02 | $38.02 |
Where Wyoming sits
The same service costs 4.1 times more in Alaska than in North 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· 3rd of 51
$407
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.