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 $6.76 Median $8.32 Typical High $8.32 | Professional | None | $6.76 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $3.39 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.35 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.02 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.02 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.68 | $0.83 | $0.83 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $32.36 | Facility | None | $20.42 | $27.54 | $32.36 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $12.02 | Professional | None | $5.50 | $7.94 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.08 | Professional | None | $5.25 | $5.25 | $7.08 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $5.50 Median $7.94 Typical High $11.75 | Professional | None | $5.50 | $7.94 | $11.75 |
Where Rhode Island sits
The same service costs 3.5 times more in Montana than in Kansas. 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· 25th of 51
$7.94
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.