How much rates vary
Facilitymedian $537,032 · 10th to 90th $537,032 to $562,341Professionalmedian $588,844 · 10th to 90th $537,032 to $588,844
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 $588,843.66 Median $588,843.66 Typical High $588,843.66 | Professional | None | $588,843.66 | $588,843.66 | $588,843.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295,120.92 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $295,120.92 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117,489.76 Median $117,489.76 Typical High $117,489.76 | Professional | 53 · Discontinued | $117,489.76 | $117,489.76 | $117,489.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $58,884.37 | $58,884.37 | $58,884.37 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $562,341.33 | Facility | None | $537,031.80 | $537,031.80 | $562,341.33 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Professional | None | $537,031.80 | $537,031.80 | $537,031.80 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Professional | None | $537,031.80 | $537,031.80 | $537,031.80 |
Where Rhode Island sits
Rates are fairly even across states for this service. 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· 13th of 51
$588,844
MS $676,083NJ $537,032
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.