How much rates vary
Facilitymedian $489,779 · 10th to 90th $489,779 to $512,861Professionalmedian $524,807 · 10th to 90th $489,779 to $524,807
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 $524,807.46 Median $524,807.46 Typical High $524,807.46 | Professional | None | $524,807.46 | $524,807.46 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $263,026.80 Median $263,026.80 Typical High $263,026.80 | Professional | 52 · Reduced service | $263,026.80 | $263,026.80 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107,151.93 Median $107,151.93 Typical High $107,151.93 | Professional | 53 · Discontinued | $107,151.93 | $107,151.93 | $107,151.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $79,432.82 Typical High $79,432.82 | Professional | 55 · Aftercare only | $79,432.82 | $79,432.82 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52,480.75 Median $52,480.75 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $52,480.75 | $52,480.75 | $52,480.75 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $512,861.38 | Facility | None | $489,778.82 | $489,778.82 | $512,861.38 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $489,778.82 | Professional | None | $489,778.82 | $489,778.82 | $489,778.82 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $489,778.82 | Professional | None | $489,778.82 | $489,778.82 | $489,778.82 |
Where Rhode Island sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 15th of 51
$524,807
TX $1,000,000NJ $489,779
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.