How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $5,888Professionalmedian $631 · 10th to 90th $427 to $832
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 $2,398.83 Median $3,235.94 Typical High $3,981.07 | Facility | None | $2,398.83 | $3,235.94 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Professional | None | $630.96 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $426.58 Median $562.34 Typical High $794.33 | Professional | None | $426.58 | $562.34 | $794.33 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $331.13 Typical High $389.05 | Professional | 54 · Surgery only | $269.15 | $331.13 | $389.05 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $83.18 | $100.00 | $117.49 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | 56 · Pre-op care only | $39.81 | $47.86 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,995.26 Typical High $2,951.21 | Facility | None | $676.08 | $1,995.26 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $977.24 | Professional | None | $691.83 | $831.76 | $977.24 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,089.30 Typical High $6,456.54 | Facility | None | $870.96 | $2,089.30 | $6,456.54 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $870.96 | Professional | None | $389.05 | $562.34 | $870.96 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Where Rhode Island sits
The same service costs 4.4 times more in Colorado than in Montana. 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
CO $6,812MT $1,536
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.