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 Facility Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,513.56 | $1,548.82 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Professional | None | $251.19 | $251.19 | $562.34 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $645.65 | Professional | None | $151.36 | $263.03 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $1,122.02 | Facility | None | $676.08 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $3,890.45 | Facility | None | $97.72 | $316.23 | $3,890.45 |
United Setting Professional Modifier None Typical Low $213.80 Median $407.38 Typical High $741.31 | Professional | None | $213.80 | $407.38 | $741.31 |
5 more rates 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 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $281.84 | Professional | 52 · Reduced service | $125.89 | $125.89 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | 53 · Discontinued | $51.29 | $51.29 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $426.58 | Professional | 54 · Surgery only | $190.55 | $190.55 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $85.11 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $56.23 |
Where Rhode Island sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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
$309
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.