How much rates vary
Facilitymedian $437 · 10th to 90th $347 to $776Professionalmedian $162 · 10th to 90th $79 to $363
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 $3,715.35 Median $3,715.35 Typical High $3,981.07 | Facility | None | $3,715.35 | $3,715.35 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $147.91 Typical High $213.80 | Professional | None | $85.11 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $47.86 Typical High $104.71 | Professional | 52 · Reduced service | $42.66 | $47.86 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $42.66 | Professional | 53 · Discontinued | $16.98 | $19.05 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $70.79 Typical High $158.49 | Professional | 54 · Surgery only | $63.10 | $70.79 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $31.62 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.55 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.51 | $9.55 | $21.38 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $707.95 | Facility | None | $363.08 | $436.52 | $707.95 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $251.19 | Professional | None | $77.62 | $128.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $363.08 | Professional | None | $123.03 | $190.55 | $363.08 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $295.12 | Professional | None | $72.44 | $158.49 | $295.12 |
Where Rhode Island sits
The same service costs 2.9 times more in Washington than in Kentucky. 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· 34th of 51
$162
WA $288KY $100
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.