How much rates vary
Facilitymedian $676 · 10th to 90th $98 to $3,981Professionalmedian $170 · 10th to 90th $107 to $479
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 $208.93 Median $208.93 Typical High $478.63 | Professional | None | $208.93 | $208.93 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $239.88 | Professional | 52 · Reduced service | $104.71 | $104.71 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $95.50 | Professional | 53 · Discontinued | $41.69 | $41.69 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $354.81 | Professional | 54 · Surgery only | $158.49 | $158.49 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $70.79 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $47.86 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $47.86 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $199.53 | Professional | None | $107.15 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $794.33 | Facility | None | $676.08 | $676.08 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $251.19 | Professional | None | $154.88 | $199.53 | $251.19 |
United Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $3,890.45 | Facility | None | $97.72 | $316.23 | $3,890.45 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $181.97 | Professional | None | $91.20 | $138.04 | $181.97 |
Where Rhode Island sits
The same service costs 13.3 times more in Connecticut than in Michigan. 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 $3,018MI $226
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.