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 $72.44 Median $79.43 Typical High $138.04 | Professional | None | $72.44 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $69.18 | Professional | 52 · Reduced service | $36.31 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $27.54 | Professional | 53 · Discontinued | $14.45 | $15.85 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.02 Typical High $20.42 | Professional | 55 · Aftercare only | $10.72 | $12.02 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.94 Typical High $13.80 | Professional | 56 · Pre-op care only | $7.24 | $7.94 | $13.80 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $100.00 Median $218.78 Typical High $288.40 | Facility | None | $100.00 | $218.78 | $288.40 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $141.25 | Professional | None | $69.18 | $120.23 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $128.82 | Professional | None | $61.66 | $83.18 | $128.82 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $109.65 | Professional | None | $47.86 | $66.07 | $109.65 |
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· 43rd of 51
$79.43
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.