How much rates vary
Facilitymedian $562 · 10th to 90th $372 to $3,981Professionalmedian $155 · 10th to 90th $76 to $355
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 $85.11 Median $134.90 Typical High $213.80 | Professional | None | $85.11 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $51.29 Typical High $107.15 | Professional | 52 · Reduced service | $44.67 | $51.29 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $42.66 | Professional | 53 · Discontinued | $17.78 | $20.42 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $75.86 Typical High $162.18 | Professional | 54 · Surgery only | $67.61 | $75.86 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $15.14 Typical High $32.36 | Professional | 55 · Aftercare only | $13.49 | $15.14 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.23 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.91 | $10.23 | $21.38 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $457.09 | Facility | None | $309.03 | $407.38 | $457.09 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $263.03 | Professional | None | $66.07 | $141.25 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $354.81 | Professional | None | $114.82 | $165.96 | $354.81 |
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 $74.13 Median $173.78 Typical High $316.23 | Professional | None | $74.13 | $173.78 | $316.23 |
Where Rhode Island sits
The same service costs 3.5 times more in North Carolina than in Indiana. 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· 22nd of 51
$174
NC $302IN $85.11
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.