How much rates vary
Facilitymedian $16 · 10th to 90th $12 to $19Professionalmedian $8 · 10th to 90th $3 to $11
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 $5.50 Median $10.72 Typical High $10.72 | Professional | None | $5.50 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $2.75 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.10 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.07 Median $8.13 Typical High $8.13 | Professional | 54 · Surgery only | $4.07 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.81 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $0.81 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.55 | $1.07 | $1.07 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $11.75 Median $16.22 Typical High $18.62 | Facility | None | $11.75 | $16.22 | $18.62 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.76 | Professional | None | $5.50 | $5.50 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.07 Typical High $6.46 | Professional | None | $3.09 | $4.07 | $6.46 |
Where Rhode Island sits
The same service costs 3.2 times more in Rhode Island 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· 1st of 51
$10.72
RI $10.72NY $3.31
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.