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 $5,888.44 Median $6,025.60 Typical High $6,025.60 | Professional | None | $5,888.44 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,951.21 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,951.21 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $1,174.90 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $891.25 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $891.25 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $588.84 | $602.56 | $602.56 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $9,120.11 | Professional | None | $8,709.64 | $8,709.64 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,623.41 | Professional | None | $4,786.30 | $4,786.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $8,128.31 | Professional | None | $3,715.35 | $6,165.95 | $8,128.31 |
Where Rhode Island sits
The same service costs 2.6 times more in Montana 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· 25th of 51
$6,026
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.