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 $89.13 Median $154.88 Typical High $269.15 | Professional | None | $89.13 | $154.88 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $61.66 Typical High $134.90 | Professional | 52 · Reduced service | $44.67 | $61.66 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $24.55 Typical High $53.70 | Professional | 53 · Discontinued | $18.20 | $24.55 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $91.20 Typical High $204.17 | Professional | 54 · Surgery only | $67.61 | $91.20 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $18.20 Typical High $40.74 | Professional | 55 · Aftercare only | $13.49 | $18.20 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.30 Typical High $26.92 | Professional | 56 · Pre-op care only | $8.91 | $12.30 | $26.92 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $229.09 | Professional | None | $77.62 | $151.36 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $281.84 | Professional | None | $112.20 | $162.18 | $281.84 |
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 $85.11 Median $165.96 Typical High $309.03 | Professional | None | $85.11 | $165.96 | $309.03 |
Where Rhode Island sits
The same service costs 2.7 times more in Wisconsin than in Utah. 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· 32nd of 51
$170
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.