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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $707.95 Typical High $1,047.13 | Professional | None | $275.42 | $707.95 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $158.49 Typical High $524.81 | Professional | 52 · Reduced service | $138.04 | $158.49 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $63.10 Typical High $208.93 | Professional | 53 · Discontinued | $54.95 | $63.10 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $234.42 Typical High $794.33 | Professional | 54 · Surgery only | $204.17 | $234.42 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $46.77 Typical High $158.49 | Professional | 55 · Aftercare only | $41.69 | $46.77 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $31.62 Typical High $104.71 | Professional | 56 · Pre-op care only | $27.54 | $31.62 | $104.71 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,096.48 | Professional | None | $234.42 | $446.68 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $549.54 Typical High $1,445.44 | Professional | None | $338.84 | $549.54 | $1,445.44 |
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 $229.09 Median $691.83 Typical High $1,258.93 | Professional | None | $229.09 | $691.83 | $1,258.93 |
Where Rhode Island sits
The same service costs 5.4 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· 31st of 51
$759
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.