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 $102.33 Median $104.71 Typical High $104.71 | Professional | None | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.42 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $10.47 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $407.38 | Facility | None | $257.04 | $346.74 | $407.38 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $162.18 | Professional | None | $81.28 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None | $81.28 | $81.28 | $109.65 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $147.91 | Professional | None | $67.61 | $100.00 | $147.91 |
Where Rhode Island sits
The same service costs 3.0 times more in Montana 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· 38th of 51
$105
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.