How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,380 to $10,471Professionalmedian $1,288 · 10th to 90th $871 to $1,738
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 $3,467.37 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,467.37 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $2,041.74 | Professional | None | $776.25 | $1,023.29 | $2,041.74 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $645.65 Typical High $1,288.25 | Professional | 54 · Surgery only | $446.68 | $645.65 | $1,288.25 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $123.03 Typical High $239.88 | Professional | 55 · Aftercare only | $85.11 | $123.03 | $239.88 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $104.71 Typical High $208.93 | Professional | 56 · Pre-op care only | $72.44 | $104.71 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,606.93 Typical High $9,549.93 | Facility | None | $1,778.28 | $6,606.93 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,778.28 | Professional | None | $954.99 | $1,445.44 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $12,882.50 | Facility | None | $1,023.29 | $4,570.88 | $12,882.50 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,479.11 | Professional | None | $758.58 | $1,148.15 | $1,479.11 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
Where Rhode Island sits
The same service costs 6.1 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 $15,685MT $2,577
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.