How much rates vary
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 $3,715.35 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,715.35 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $912.01 | $912.01 | $912.01 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,445.44 | $2,290.87 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $870.96 Typical High $1,412.54 | Professional | 54 · Surgery only | $616.60 | $870.96 | $1,412.54 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $234.42 Typical High $371.54 | Professional | 55 · Aftercare only | $162.18 | $234.42 | $371.54 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $123.03 Typical High $194.98 | Professional | 56 · Pre-op care only | $87.10 | $123.03 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $676.08 Typical High $1,202.26 | Facility | None | $50.12 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,995.26 | $2,570.40 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $6,456.54 | Facility | None | $426.58 | $1,513.56 | $6,456.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $2,187.76 | Professional | None | $977.24 | $1,202.26 | $2,187.76 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $851.14 |
Where Rhode Island sits
The same service costs 6.8 times more in Alaska than in Texas. 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.
Rhode Island· 31st of 51
$1,445
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.