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 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 $81.28 Median $128.82 Typical High $169.82 | Professional | None | $81.28 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $48.98 Typical High $85.11 | Professional | 52 · Reduced service | $40.74 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $34.67 | Professional | 53 · Discontinued | $16.22 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $72.44 Typical High $128.82 | Professional | 54 · Surgery only | $61.66 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $14.45 Typical High $25.70 | Professional | 55 · Aftercare only | $12.30 | $14.45 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.77 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.13 | $9.77 | $16.98 |
BCBS Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $512.86 | Facility | None | $316.23 | $389.05 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $239.88 | Professional | None | $75.86 | $144.54 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $275.42 | Professional | None | $120.23 | $169.82 | $275.42 |
United Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $6,456.54 | Facility | None | $436.52 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $245.47 | Professional | None | $79.43 | $151.36 | $245.47 |
Where Rhode Island sits
The same service costs 2.6 times more in Wisconsin than in Florida. 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· 21st of 51
$162
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.