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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $758.58 Typical High $1,445.44 | Professional | None | $269.15 | $758.58 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $165.96 Typical High $724.44 | Professional | 52 · Reduced service | $134.90 | $165.96 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $66.07 Typical High $288.40 | Professional | 53 · Discontinued | $53.70 | $66.07 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $245.47 Typical High $1,096.48 | Professional | 54 · Surgery only | $199.53 | $245.47 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $50.12 Typical High $218.78 | Professional | 55 · Aftercare only | $40.74 | $50.12 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $33.11 Typical High $144.54 | Professional | 56 · Pre-op care only | $26.92 | $33.11 | $144.54 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $218.78 Median $436.52 Typical High $1,698.24 | Professional | None | $218.78 | $436.52 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $512.86 Typical High $1,584.89 | Professional | None | $223.87 | $512.86 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $10,000.00 | Facility | None | $2,951.21 | $5,128.61 | $10,000.00 |
United Setting Professional Modifier None Typical Low $234.42 Median $977.24 Typical High $1,621.81 | Professional | None | $234.42 | $977.24 | $1,621.81 |
Where Rhode Island sits
The same service costs 5.9 times more in Wisconsin than in Maryland. 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· 34th of 51
$891
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.