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 $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 $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $870.96 | Professional | None | $478.63 | $645.65 | $870.96 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $309.03 | $371.54 | $436.52 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $114.82 Typical High $134.90 | Professional | 55 · Aftercare only | $93.33 | $114.82 | $134.90 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $44.67 | $53.70 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,230.27 Typical High $1,778.28 | Facility | None | $588.84 | $1,230.27 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,023.29 | Professional | None | $707.95 | $933.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $5,011.87 | Facility | None | $645.65 | $1,445.44 | $5,011.87 |
United Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $977.24 | Professional | None | $426.58 | $524.81 | $977.24 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
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
$646
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.