How much rates vary
Facilitymedian $2,399 · 10th to 90th $871 to $5,888Professionalmedian $550 · 10th to 90th $214 to $1,549
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 $234.42 Median $758.58 Typical High $1,023.29 | Professional | None | $234.42 | $758.58 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $208.93 Median $602.56 Typical High $1,202.26 | Professional | None | $208.93 | $602.56 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,238.72 Typical High $3,235.94 | Facility | None | $588.84 | $2,238.72 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $1,621.81 | Professional | None | $371.54 | $467.74 | $1,621.81 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,089.30 Typical High $7,413.10 | Facility | None | $870.96 | $2,089.30 | $7,413.10 |
United Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $1,737.80 | Professional | None | $204.17 | $398.11 | $1,737.80 |
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 $117.49 Median $181.97 Typical High $512.86 | Professional | 52 · Reduced service | $117.49 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $204.17 | Professional | 53 · Discontinued | $46.77 | $72.44 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $275.42 Typical High $776.25 | Professional | 54 · Surgery only | $173.78 | $275.42 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $54.95 Typical High $154.88 | Professional | 55 · Aftercare only | $34.67 | $54.95 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $36.31 Typical High $102.33 | Professional | 56 · Pre-op care only | $23.44 | $36.31 | $102.33 |
Where Rhode Island sits
The same service costs 3.8 times more in Colorado than in Montana. 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
CO $5,124MT $1,344
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.