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 $251.19 Median $398.11 Typical High $457.09 | Professional | None | $251.19 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $302.00 Typical High $346.74 | Professional | 54 · Surgery only | $186.21 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $37.15 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $39.81 Typical High $45.71 | Professional | 56 · Pre-op care only | $25.12 | $39.81 | $45.71 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $741.31 | Professional | None | $302.00 | $426.58 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $3,019.95 Typical High $4,265.80 | Facility | None | $588.84 | $3,019.95 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $691.83 | Professional | None | $478.63 | $602.56 | $691.83 |
United Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $4,786.30 | Facility | None | $371.54 | $1,096.48 | $4,786.30 |
United Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $676.08 | Professional | None | $295.12 | $501.19 | $676.08 |
2 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 $125.89 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $125.89 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $50.12 | $81.28 | $91.20 |
Where Rhode Island sits
The same service costs 3.9 times more in Alaska than in New York. 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· 24th of 51
$490
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.