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 $37.15 Median $46.77 Typical High $120.23 | Professional | None | $37.15 | $46.77 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $23.44 Typical High $58.88 | Professional | 52 · Reduced service | $18.62 | $23.44 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.33 Typical High $23.99 | Professional | 53 · Discontinued | $7.41 | $9.33 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $7.08 Typical High $17.78 | Professional | 55 · Aftercare only | $5.62 | $7.08 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $4.68 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.72 | $4.68 | $12.02 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $295.12 | Facility | None | $102.33 | $165.96 | $295.12 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $114.82 | Professional | None | $35.48 | $64.57 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $107.15 | Professional | None | $32.36 | $57.54 | $107.15 |
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 $26.30 Median $45.71 Typical High $89.13 | Professional | None | $26.30 | $45.71 | $89.13 |
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 3.5 times more in Hawaii 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· 45th of 51
$46.77
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.