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 $112.20 Median $112.20 Typical High $154.88 | Professional | None | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | 52 · Reduced service | $56.23 | $56.23 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | 53 · Discontinued | $22.39 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | 54 · Surgery only | $83.18 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $15.49 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $45.71 Median $93.33 Typical High $109.65 | Professional | None | $45.71 | $93.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $165.96 | Professional | None | $81.28 | $117.49 | $165.96 |
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 $41.69 Median $89.13 Typical High $162.18 | Professional | None | $41.69 | $89.13 | $162.18 |
Where Rhode Island sits
The same service costs 2.5 times more in North Carolina than in Florida. 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· 18th of 51
$110
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.