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 $104.71 Median $204.17 Typical High $309.03 | Professional | None | $104.71 | $204.17 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $154.88 | Professional | 52 · Reduced service | $53.70 | $61.66 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $61.66 | Professional | 53 · Discontinued | $21.38 | $24.55 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $93.33 Typical High $234.42 | Professional | 54 · Surgery only | $79.43 | $93.33 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $18.62 Typical High $46.77 | Professional | 55 · Aftercare only | $16.22 | $18.62 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $30.90 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $30.90 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $467.74 Median $660.69 Typical High $758.58 | Facility | None | $467.74 | $660.69 | $758.58 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $407.38 | Professional | None | $81.28 | $177.83 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $588.84 | Professional | None | $131.83 | $218.78 | $588.84 |
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 $87.10 Median $239.88 Typical High $446.68 | Professional | None | $87.10 | $239.88 | $446.68 |
Where Rhode Island sits
The same service costs 4.2 times more in Washington than in Virginia. 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· 26th of 51
$251
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.