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 $112.20 Median $117.49 Typical High $117.49 | Professional | None | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.22 | $11.75 | $11.75 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $213.80 Median $302.00 Typical High $380.19 | Facility | None | $213.80 | $302.00 | $380.19 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $125.89 | Professional | None | $93.33 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | None | $114.82 | $141.25 | $194.98 |
Where Rhode Island sits
The same service costs 2.8 times more in North Dakota than in New York. 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· 27th of 51
$117
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.