How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $5,888Professionalmedian $562 · 10th to 90th $380 to $759
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 $562.34 Median $562.34 Typical High $630.96 | Professional | None | $562.34 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $416.87 | $416.87 | $416.87 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $707.95 | Professional | None | $380.19 | $501.19 | $707.95 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $295.12 Typical High $346.74 | Professional | 54 · Surgery only | $245.47 | $295.12 | $346.74 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $91.20 Typical High $107.15 | Professional | 55 · Aftercare only | $74.13 | $91.20 | $107.15 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $42.66 Typical High $50.12 | Professional | 56 · Pre-op care only | $35.48 | $42.66 | $50.12 |
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 $630.96 Median $758.58 Typical High $851.14 | Professional | None | $630.96 | $758.58 | $851.14 |
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 $346.74 Median $501.19 Typical High $776.25 | Professional | None | $346.74 | $501.19 | $776.25 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $389.05 |
Where Rhode Island sits
The same service costs 4.9 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 $6,755MT $1,384
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.