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 $199.53 Median $213.80 Typical High $213.80 | Professional | None | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $19.95 | $21.38 | $21.38 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $524.81 Median $707.95 Typical High $831.76 | Facility | None | $524.81 | $707.95 | $831.76 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $309.03 | Professional | None | $141.25 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $295.12 | Professional | None | $134.90 | $190.55 | $295.12 |
Where Rhode Island sits
The same service costs 2.7 times more in Hawaii than in Delaware. 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· 24th of 51
$200
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.