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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $1,995.26 Median $2,691.53 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,691.53 | $3,630.78 |
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 $354.81 Median $436.52 Typical High $512.86 | Professional | 55 · Aftercare only | $354.81 | $436.52 | $512.86 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | 56 · Pre-op care only | $186.21 | $229.09 | $269.15 |
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 $2,951.21 Median $3,981.07 Typical High $4,168.69 | Professional | None | $2,951.21 | $3,981.07 | $4,168.69 |
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 $1,737.80 Median $2,187.76 Typical High $4,168.69 | Professional | None | $1,737.80 | $2,187.76 | $4,168.69 |
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 9.1 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· 29th of 51
$2,692
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.