How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $489.78 Median $524.81 Typical High $524.81 | Professional | None | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | None | $467.74 | $549.54 | $549.54 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $263.03 | $371.54 | $436.52 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $54.95 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $54.95 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $32.36 | $46.77 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $676.08 | Professional | None | $645.65 | $676.08 | $676.08 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $7,413.10 Typical High $13,489.63 | Facility | None | $3,388.44 | $7,413.10 | $13,489.63 |
United Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $602.56 | Professional | None | $389.05 | $426.58 | $602.56 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Where Rhode Island sits
The same service costs 4.4 times more in Alaska than in Utah. 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· 26th of 51
$525
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.