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 $154.88 Median $436.52 Typical High $2,089.30 | Professional | None | $154.88 | $436.52 | $2,089.30 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $2,884.03 | Professional | None | $165.96 | $309.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,584.89 Typical High $2,951.21 | Facility | None | $676.08 | $1,584.89 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $3,388.44 | Professional | None | $239.88 | $346.74 | $3,388.44 |
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 $190.55 Median $1,230.27 Typical High $3,019.95 | Professional | None | $190.55 | $1,230.27 | $3,019.95 |
5 more rates 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 52 · Reduced service Typical Low $95.50 Median $123.03 Typical High $1,047.13 | Professional | 52 · Reduced service | $95.50 | $123.03 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $48.98 Typical High $416.87 | Professional | 53 · Discontinued | $38.02 | $48.98 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $186.21 Typical High $1,584.89 | Professional | 54 · Surgery only | $144.54 | $186.21 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $37.15 Typical High $316.23 | Professional | 55 · Aftercare only | $28.84 | $37.15 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $24.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $19.05 | $24.55 | $208.93 |
Where Rhode Island sits
The same service costs 8.5 times more in Wisconsin than in Nebraska. 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· 34th of 51
$1,288
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.