How much rates vary
Facilitymedian $1,445 · 10th to 90th $646 to $4,898Professionalmedian $324 · 10th to 90th $204 to $355
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 $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 $295.12 Median $338.84 Typical High $338.84 | Professional | None | $295.12 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $223.87 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $29.51 | $33.88 | $33.88 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $407.38 | Professional | None | $223.87 | $263.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,659.59 | Facility | None | $588.84 | $1,174.90 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $380.19 | Professional | None | $309.03 | $323.59 | $380.19 |
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 $186.21 Median $257.04 Typical High $346.74 | Professional | None | $186.21 | $257.04 | $346.74 |
Where Rhode Island sits
The same service costs 6.8 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $4,179MT $618
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.