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 $3,981.07 Typical High $4,897.79 | Facility | None | $3,715.35 | $3,981.07 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $1,995.26 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,754.23 | $3,801.89 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,621.81 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,318.26 | $1,621.81 | $1,905.46 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $489.78 Typical High $575.44 | Professional | 55 · Aftercare only | $398.11 | $489.78 | $575.44 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $190.55 | $234.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $15,135.61 Typical High $21,877.62 | Facility | None | $676.08 | $15,135.61 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,019.95 | $4,073.80 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,623.41 Typical High $21,877.62 | Facility | None | $1,230.27 | $5,623.41 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,344.23 | $4,265.80 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $1,862.09 |
Where Rhode Island sits
The same service costs 8.1 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
$2,754
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.