How much rates vary
Facilitymedian $1,820 · 10th to 90th $646 to $4,898Professionalmedian $724 · 10th to 90th $562 to $1,259
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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | None | $660.69 | $660.69 | $724.44 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,096.48 | Professional | None | $549.54 | $660.69 | $1,096.48 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $398.11 Typical High $691.83 | Professional | 54 · Surgery only | $309.03 | $398.11 | $691.83 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | 55 · Aftercare only | $83.18 | $107.15 | $186.21 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $56.23 Typical High $97.72 | Professional | 56 · Pre-op care only | $43.65 | $56.23 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,479.11 Typical High $2,089.30 | Facility | None | $588.84 | $1,479.11 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,479.11 | Professional | None | $616.60 | $707.95 | $1,479.11 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $5,011.87 | Facility | None | $645.65 | $1,445.44 | $5,011.87 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,318.26 | Professional | None | $537.03 | $776.25 | $1,318.26 |
1 more rate 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 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $512.86 |
Where Rhode Island sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.