How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $181.97 Median $416.87 Typical High $707.95 | Professional | None | $181.97 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $120.23 Typical High $354.81 | Professional | 52 · Reduced service | $91.20 | $120.23 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $47.86 Typical High $141.25 | Professional | 53 · Discontinued | $36.31 | $47.86 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $181.97 Typical High $537.03 | Professional | 54 · Surgery only | $134.90 | $181.97 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $36.31 Typical High $107.15 | Professional | 55 · Aftercare only | $26.92 | $36.31 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $23.99 Typical High $70.79 | Professional | 56 · Pre-op care only | $18.20 | $23.99 | $70.79 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $977.24 | Professional | None | $186.21 | $363.08 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $794.33 Typical High $1,202.26 | Facility | None | $269.15 | $794.33 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $1,202.26 | Professional | None | $257.04 | $436.52 | $1,202.26 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,445.44 Typical High $5,011.87 | Facility | None | $645.65 | $1,445.44 | $5,011.87 |
United Setting Professional Modifier None Typical Low $181.97 Median $512.86 Typical High $1,000.00 | Professional | None | $181.97 | $512.86 | $1,000.00 |
Where Rhode Island sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 24th of 51
$631
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.