How much rates vary
Facilitymedian $1,349 · 10th to 90th $347 to $4,266Professionalmedian $89 · 10th to 90th $42 to $275
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 $48.98 Median $144.54 Typical High $177.83 | Professional | None | $48.98 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $30.20 Typical High $89.13 | Professional | 52 · Reduced service | $24.55 | $30.20 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $35.48 | Professional | 53 · Discontinued | $9.77 | $12.02 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $44.67 Typical High $131.83 | Professional | 54 · Surgery only | $37.15 | $44.67 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.12 Typical High $26.30 | Professional | 55 · Aftercare only | $7.41 | $9.12 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.03 Typical High $17.78 | Professional | 56 · Pre-op care only | $4.90 | $6.03 | $17.78 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $46.77 Median $125.89 Typical High $213.80 | Professional | None | $46.77 | $125.89 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $1,202.26 | Facility | None | $269.15 | $269.15 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $123.03 Typical High $275.42 | Professional | None | $64.57 | $123.03 | $275.42 |
United Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $4,265.80 | Facility | None | $371.54 | $1,096.48 | $4,265.80 |
United Setting Professional Modifier None Typical Low $36.31 Median $87.10 Typical High $186.21 | Professional | None | $36.31 | $87.10 | $186.21 |
Where Rhode Island sits
The same service costs 4.6 times more in Wisconsin than in Washington, DC. 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· 42nd of 51
$95.50
WI $240DC $52.48
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.