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 $602,559.59 Median $602,559.59 Typical High $602,559.59 | Professional | None | $602,559.59 | $602,559.59 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $301,995.17 Median $301,995.17 Typical High $301,995.17 | Professional | 52 · Reduced service | $301,995.17 | $301,995.17 | $301,995.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120,226.44 Median $120,226.44 Typical High $120,226.44 | Professional | 53 · Discontinued | $120,226.44 | $120,226.44 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91,201.08 Median $91,201.08 Typical High $91,201.08 | Professional | 55 · Aftercare only | $91,201.08 | $91,201.08 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60,255.96 Median $60,255.96 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $60,255.96 | $60,255.96 | $60,255.96 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $588,843.66 | Facility | None | $562,341.33 | $562,341.33 | $588,843.66 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Where Rhode Island sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 17th of 51
$602,560
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.