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 $309.03 Median $407.38 Typical High $1,995.26 | Professional | None | $309.03 | $407.38 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $302.00 Typical High $1,479.11 | Professional | 54 · Surgery only | $234.42 | $302.00 | $1,479.11 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $234.42 Median $1,348.96 Typical High $2,818.38 | Professional | None | $234.42 | $1,348.96 | $2,818.38 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $1,122.02 Typical High $2,344.23 | Professional | 54 · Surgery only | $162.18 | $1,122.02 | $2,344.23 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $123.03 Typical High $257.04 | Professional | 55 · Aftercare only | $17.38 | $123.03 | $257.04 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $109.65 Typical High $229.09 | Professional | 56 · Pre-op care only | $15.49 | $109.65 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,621.81 Typical High $2,187.76 | Facility | None | $676.08 | $1,621.81 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $4,786.30 | Professional | None | $363.08 | $512.86 | $4,786.30 |
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 $281.84 Median $1,584.89 Typical High $3,162.28 | Professional | None | $281.84 | $1,584.89 | $3,162.28 |
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 $218.78 Median $281.84 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $218.78 | $281.84 | $1,380.38 |
Where Rhode Island sits
The same service costs 7.1 times more in Oregon 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
$1,622
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.