How much rates vary
Facilitymedian $1,413 · 10th to 90th $389 to $4,266Professionalmedian $155 · 10th to 90th $102 to $263
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 $123.03 Median $144.54 Typical High $165.96 | Professional | None | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $61.66 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $24.55 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $109.65 Typical High $123.03 | Professional | 54 · Surgery only | $91.20 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $21.88 Typical High $24.55 | Professional | 55 · Aftercare only | $18.20 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $16.60 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $218.78 | Professional | None | $123.03 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,412.54 Typical High $2,041.74 | Facility | None | $588.84 | $1,412.54 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $263.03 | Professional | None | $138.04 | $181.97 | $263.03 |
United Setting Facility Modifier None Typical Low $371.54 Median $1,096.48 Typical High $4,786.30 | Facility | None | $371.54 | $1,096.48 | $4,786.30 |
United Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $199.53 | Professional | None | $85.11 | $128.82 | $199.53 |
Where Rhode Island sits
The same service costs 10.9 times more in Colorado than in Montana. 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 $3,950MT $363
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.