How much rates vary
Facilitymedian $1,445 · 10th to 90th $676 to $4,898Professionalmedian $589 · 10th to 90th $224 to $1,514
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 $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 $660.69 Typical High $1,122.02 | Professional | None | $275.42 | $660.69 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $144.54 Typical High $562.34 | Professional | 52 · Reduced service | $138.04 | $144.54 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $223.87 | Professional | 53 · Discontinued | $54.95 | $58.88 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $831.76 | Professional | 54 · Surgery only | $204.17 | $218.78 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $169.82 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $112.20 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $112.20 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $213.80 Median $676.08 Typical High $1,148.15 | Professional | None | $213.80 | $676.08 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,202.26 Typical High $2,951.21 | Facility | None | $676.08 | $1,202.26 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $537.03 Typical High $1,513.56 | Professional | None | $309.03 | $537.03 | $1,513.56 |
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 $190.55 Median $588.84 Typical High $1,148.15 | Professional | None | $190.55 | $588.84 | $1,148.15 |
Where Rhode Island sits
The same service costs 5.2 times more in Colorado 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.
Physician feeFacility fee
CO $5,090MD $977
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.