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 Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,949.84 Typical High $2,754.23 | Facility | None | $676.08 | $1,949.84 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,025.60 | Professional | None | $5,495.41 | $5,495.41 | $6,025.60 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $10,232.93 | Facility | None | $933.25 | $3,548.13 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $5,623.41 | Professional | None | $1,737.80 | $2,691.53 | $5,623.41 |
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 |
|---|---|---|---|---|---|
BCBS Rhode Island Setting Professional Modifier ET · Emergency service Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | ET · Emergency service | $85.11 | $85.11 | $100.00 |
Where Rhode Island sits
The same service costs 21.4 times more in Alaska than in Kentucky. 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· 33rd of 51
$2,884
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.