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 Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.38 | Professional | None | $0.35 | $0.35 | $0.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.19 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1.26 Median $1.78 Typical High $2.04 | Facility | None | $1.26 | $1.78 | $2.04 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $0.43 Median $0.62 Typical High $0.62 | Professional | None | $0.43 | $0.62 | $0.62 |
Cigna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.44 Typical High $0.69 | Professional | None | $0.34 | $0.44 | $0.69 |
Where Rhode Island sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 45th of 51
$0.45
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.