How much rates vary
Facilitymedian $1,202 · 10th to 90th $372 to $5,754Professionalmedian $1,905 · 10th to 90th $1,479 to $2,455
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 $2,398.83 Median $3,235.94 Typical High $3,981.07 | Facility | None | $2,398.83 | $3,235.94 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,995.26 | $1,995.26 |
BCBS Rhode Island Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,380.38 Typical High $1,621.81 | Professional | 54 · Surgery only | $954.99 | $1,380.38 | $1,621.81 |
BCBS Rhode Island Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $120.23 | $169.82 | $199.53 |
BCBS Rhode Island Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $151.36 Typical High $181.97 | Professional | 56 · Pre-op care only | $107.15 | $151.36 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $676.08 Typical High $1,202.26 | Facility | None | $50.12 | $676.08 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,454.71 | $2,454.71 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $6,456.54 | Facility | None | $426.58 | $1,513.56 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,548.82 | $2,290.87 |
Where Rhode Island sits
The same service costs 6.7 times more in Maine 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.
Physician feeFacility fee
ME $14,298MD $2,147
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.