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 Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,174.90 | $1,698.24 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,238.72 | Professional | None | $954.99 | $1,258.93 | $2,238.72 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $812.83 Typical High $1,445.44 | Professional | 54 · Surgery only | $575.44 | $812.83 | $1,445.44 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $141.25 Typical High $245.47 | Professional | 55 · Aftercare only | $97.72 | $141.25 | $245.47 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $117.49 Typical High $208.93 | Professional | 56 · Pre-op care only | $83.18 | $117.49 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,202.26 | Facility | None | $676.08 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,737.80 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $10,471.29 | Facility | None | $1,023.29 | $4,570.88 | $10,471.29 |
United Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,819.70 | Professional | None | $794.33 | $954.99 | $1,819.70 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Where Rhode Island sits
The same service costs 6.6 times more in Alaska 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· 34th of 51
$1,259
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.