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 $1,412.54 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,548.82 | $2,187.76 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,698.24 | $3,019.95 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,096.48 Typical High $1,949.84 | Professional | 54 · Surgery only | $776.25 | $1,096.48 | $1,949.84 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $186.21 Typical High $338.84 | Professional | 55 · Aftercare only | $131.83 | $186.21 | $338.84 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $158.49 Typical High $281.84 | Professional | 56 · Pre-op care only | $112.20 | $158.49 | $281.84 |
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 $1,348.96 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,348.96 | $2,344.23 | $2,951.21 |
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 $1,202.26 Typical High $2,454.71 | Professional | None | $794.33 | $1,202.26 | $2,454.71 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,096.48 |
Where Rhode Island sits
The same service costs 6.5 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· 31st of 51
$1,698
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.