How much rates vary
Facilitymedian $2,344 · 10th to 90th $871 to $5,888Professionalmedian $1,698 · 10th to 90th $1,122 to $2,291
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,479.11 | $2,187.76 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $724.44 | $870.96 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $263.03 Typical High $309.03 | Professional | 55 · Aftercare only | $218.78 | $263.03 | $309.03 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $104.71 | $125.89 | $147.91 |
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 $1,905.46 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,238.72 | $2,630.27 |
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 $1,047.13 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,513.56 | $2,398.83 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Where Rhode Island sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.