How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $107.15 Median $275.42 Typical High $478.63 | Professional | None | $107.15 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $239.88 | Professional | 52 · Reduced service | $61.66 | $61.66 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $95.50 | Professional | 53 · Discontinued | $24.55 | $24.55 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $91.20 Typical High $354.81 | Professional | 54 · Surgery only | $91.20 | $91.20 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $72.44 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $47.86 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $47.86 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $549.54 | Professional | None | $79.43 | $147.91 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $186.21 Typical High $741.31 | Professional | None | $112.20 | $186.21 | $741.31 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $10,000.00 | Facility | None | $2,951.21 | $5,128.61 | $10,000.00 |
United Setting Professional Modifier None Typical Low $83.18 Median $316.23 Typical High $588.84 | Professional | None | $83.18 | $316.23 | $588.84 |
Where Rhode Island sits
The same service costs 5.6 times more in Wisconsin 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.
Rhode Island· 25th of 51
$372
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.