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 $269.15 Median $316.23 Typical High $316.23 | Professional | None | $269.15 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $134.90 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $53.70 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $40.74 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $26.92 | $31.62 | $31.62 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,230.27 | Facility | None | $776.25 | $1,047.13 | $1,230.27 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $457.09 | Professional | None | $208.93 | $302.00 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | None | $223.87 | $223.87 | $309.03 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | None | $204.17 | $295.12 | $436.52 |
Where Rhode Island sits
The same service costs 2.5 times more in Hawaii than in Pennsylvania. 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· 21st of 51
$302
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.