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 $3,019.95 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,019.95 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $446.68 | Professional | None | $295.12 | $338.84 | $446.68 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Professional | None | $229.09 | $316.23 | $467.74 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | 54 · Surgery only | $128.82 | $186.21 | $257.04 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $56.23 Typical High $77.62 | Professional | 55 · Aftercare only | $39.81 | $56.23 | $77.62 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $26.92 Typical High $37.15 | Professional | 56 · Pre-op care only | $18.62 | $26.92 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $1,202.26 | Facility | None | $218.78 | $302.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $549.54 | Professional | None | $389.05 | $467.74 | $549.54 |
United Setting Facility Modifier None Typical Low $812.83 Median $2,630.27 Typical High $7,762.47 | Facility | None | $812.83 | $2,630.27 | $7,762.47 |
United Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $524.81 | Professional | None | $190.55 | $295.12 | $524.81 |
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 $208.93 Median $234.42 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $208.93 | $234.42 | $309.03 |
Where Rhode Island sits
The same service costs 5.0 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· 21st of 51
$372
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.