How much rates vary
Facilitymedian $1,230 · 10th to 90th $617 to $4,898Professionalmedian $295 · 10th to 90th $174 to $537
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 $213.80 Median $295.12 Typical High $446.68 | Professional | None | $213.80 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $117.49 Typical High $223.87 | Professional | 52 · Reduced service | $107.15 | $117.49 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $42.66 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $177.83 Typical High $331.13 | Professional | 54 · Surgery only | $158.49 | $177.83 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $67.61 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $44.67 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $44.67 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $173.78 Median $316.23 Typical High $426.58 | Professional | None | $173.78 | $316.23 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $954.99 | Facility | None | $446.68 | $707.95 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $537.03 | Professional | None | $251.19 | $346.74 | $537.03 |
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 $151.36 Median $269.15 Typical High $389.05 | Professional | None | $151.36 | $269.15 | $389.05 |
Where Rhode Island sits
The same service costs 4.7 times more in Connecticut than in North Dakota. 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
CT $3,190ND $672
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.