How much rates vary
Facilitymedian $1,862 · 10th to 90th $676 to $5,012Professionalmedian $1,380 · 10th to 90th $1,047 to $1,905
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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $2,089.30 | Professional | None | $933.25 | $1,230.27 | $2,089.30 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $851.14 Typical High $1,445.44 | Professional | 54 · Surgery only | $602.56 | $851.14 | $1,445.44 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $104.71 Typical High $177.83 | Professional | 55 · Aftercare only | $74.13 | $104.71 | $177.83 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $95.50 Typical High $162.18 | Professional | 56 · Pre-op care only | $66.07 | $95.50 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,995.26 Typical High $2,344.23 | Facility | None | $676.08 | $1,995.26 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,862.09 | $2,238.72 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $5,754.40 | Facility | None | $645.65 | $1,445.44 | $5,754.40 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,905.46 | Professional | None | $954.99 | $1,258.93 | $1,905.46 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
Where Rhode Island sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,428KY $2,193
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.