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 $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 $107.15 Median $125.89 Typical High $239.88 | Professional | None | $107.15 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $120.23 | Professional | 52 · Reduced service | $53.70 | $63.10 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $47.86 | Professional | 53 · Discontinued | $21.38 | $25.12 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $95.50 Typical High $181.97 | Professional | 54 · Surgery only | $79.43 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $36.31 | Professional | 55 · Aftercare only | $16.22 | $19.05 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.59 Typical High $23.99 | Professional | 56 · Pre-op care only | $10.72 | $12.59 | $23.99 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $478.63 Median $1,202.26 Typical High $1,659.59 | Facility | None | $478.63 | $1,202.26 | $1,659.59 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $75.86 Median $223.87 Typical High $660.69 | Professional | None | $75.86 | $223.87 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $758.58 | Professional | None | $93.33 | $194.98 | $758.58 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $3,715.35 Typical High $7,244.36 | Facility | None | $1,659.59 | $3,715.35 | $7,244.36 |
United Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $645.65 | Professional | None | $91.20 | $186.21 | $645.65 |
Where Rhode Island sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 35th of 51
$204
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.