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 $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $575.44 Typical High $676.08 | Professional | 54 · Surgery only | $407.38 | $575.44 | $676.08 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $74.13 | $107.15 | $125.89 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $75.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $53.70 | $75.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,011.87 Typical High $7,079.46 | Facility | None | $676.08 | $5,011.87 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | None | $870.96 | $1,122.02 | $1,122.02 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,589.25 | Facility | None | $933.25 | $3,548.13 | $12,589.25 |
United Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,000.00 | Professional | None | $588.84 | $645.65 | $1,000.00 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Where Rhode Island sits
The same service costs 24.0 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· 25th of 51
$832
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.