How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $67.61 Median $83.18 Typical High $117.49 | Professional | None | $67.61 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $37.15 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $14.79 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | 55 · Aftercare only | $10.00 | $11.22 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.41 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.76 | $7.41 | $11.75 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $239.88 | Facility | None | $186.21 | $218.78 | $239.88 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $112.20 | Professional | None | $64.57 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $107.15 | Professional | None | $60.26 | $74.13 | $107.15 |
United Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $91.20 | Professional | None | $43.65 | $58.88 | $91.20 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Rhode Island sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 35th of 51
$74.13
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.