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 $363.08 Median $758.58 Typical High $1,778.28 | Professional | None | $363.08 | $758.58 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $229.09 Typical High $891.25 | Professional | 52 · Reduced service | $181.97 | $229.09 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $93.33 Typical High $354.81 | Professional | 53 · Discontinued | $72.44 | $93.33 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $346.74 Typical High $1,348.96 | Professional | 54 · Surgery only | $269.15 | $346.74 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $69.18 Typical High $269.15 | Professional | 55 · Aftercare only | $54.95 | $69.18 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $46.77 Typical High $177.83 | Professional | 56 · Pre-op care only | $36.31 | $46.77 | $177.83 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $2,187.76 | Professional | None | $316.23 | $602.56 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $741.31 Typical High $1,995.26 | Professional | None | $316.23 | $741.31 | $1,995.26 |
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 $323.59 Median $1,148.15 Typical High $1,949.84 | Professional | None | $323.59 | $1,148.15 | $1,949.84 |
Where Rhode Island sits
The same service costs 5.1 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· 36th of 51
$1,122
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.