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 $69.18 Median $95.50 Typical High $204.17 | Professional | None | $69.18 | $95.50 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $45.71 Typical High $102.33 | Professional | 52 · Reduced service | $33.88 | $45.71 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.20 Typical High $40.74 | Professional | 53 · Discontinued | $13.80 | $18.20 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.80 Typical High $30.90 | Professional | 55 · Aftercare only | $10.23 | $13.80 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.12 Typical High $20.42 | Professional | 56 · Pre-op care only | $6.92 | $9.12 | $20.42 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $309.03 | Facility | None | $208.93 | $275.42 | $309.03 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $173.78 | Professional | None | $53.70 | $107.15 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $245.47 | Professional | None | $79.43 | $117.49 | $245.47 |
United Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $6,456.54 | Facility | None | $436.52 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $53.70 Median $112.20 Typical High $281.84 | Professional | None | $53.70 | $112.20 | $281.84 |
Where Rhode Island sits
The same service costs 2.7 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· 36th of 51
$117
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.