How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,023 to $10,471Professionalmedian $3,162 · 10th to 90th $2,138 to $4,266
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 $3,467.37 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,467.37 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,818.38 | $4,073.80 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,380.38 | $1,659.59 | $1,949.84 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $501.19 Typical High $588.84 | Professional | 55 · Aftercare only | $416.87 | $501.19 | $588.84 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $199.53 | $239.88 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,786.30 Typical High $6,918.31 | Facility | None | $676.08 | $4,786.30 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $4,897.79 | Professional | None | $3,090.30 | $4,265.80 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $12,882.50 | Facility | None | $1,023.29 | $4,570.88 | $12,882.50 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $4,466.84 | Professional | None | $1,949.84 | $2,454.71 | $4,466.84 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,187.76 |
Where Rhode Island sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $19,545KY $4,915
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.