How much rates vary
Facilitymedian $1,230 · 10th to 90th $427 to $4,898Professionalmedian $182 · 10th to 90th $76 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 $95.50 Median $223.87 Typical High $275.42 | Professional | None | $95.50 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $56.23 Typical High $134.90 | Professional | 52 · Reduced service | $47.86 | $56.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $54.95 | Professional | 53 · Discontinued | $19.05 | $22.39 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $85.11 Typical High $204.17 | Professional | 54 · Surgery only | $70.79 | $85.11 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.98 Typical High $40.74 | Professional | 55 · Aftercare only | $14.13 | $16.98 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.22 Typical High $27.54 | Professional | 56 · Pre-op care only | $9.55 | $11.22 | $27.54 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $85.11 Median $213.80 Typical High $371.54 | Professional | None | $85.11 | $213.80 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $426.58 Typical High $1,202.26 | Facility | None | $316.23 | $426.58 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $478.63 | Professional | None | $123.03 | $218.78 | $478.63 |
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 $66.07 Median $173.78 Typical High $302.00 | Professional | None | $66.07 | $173.78 | $302.00 |
Where Rhode Island sits
The same service costs 9.0 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 $4,579MT $507
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.