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 $87.10 Median $87.10 Typical High $89.13 | Professional | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.91 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $645.65 Median $776.25 Typical High $1,023.29 | Facility | None | $645.65 | $776.25 | $1,023.29 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | None | $77.62 | $91.20 | $151.36 |
Where Rhode Island sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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
$87.10
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.