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 $57.54 Median $69.18 Typical High $120.23 | Professional | None | $57.54 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $34.67 Typical High $60.26 | Professional | 52 · Reduced service | $30.90 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $23.99 | Professional | 53 · Discontinued | $12.59 | $13.80 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $18.20 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.92 Typical High $12.02 | Professional | 56 · Pre-op care only | $6.17 | $6.92 | $12.02 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $151.36 Median $724.44 Typical High $891.25 | Facility | None | $151.36 | $724.44 | $891.25 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $117.49 | Professional | None | $57.54 | $109.65 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | None | $53.70 | $75.86 | $112.20 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $93.33 | Professional | None | $38.90 | $57.54 | $93.33 |
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 2.8 times more in Alaska than in Maryland. 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· 41st of 51
$69.18
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.