How much rates vary
Facilitymedian $11 · 10th to 90th $8 to $13Professionalmedian $5 · 10th to 90th $2 to $8
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 $3.63 Median $8.32 Typical High $8.32 | Professional | None | $3.63 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $1.82 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $0.72 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.75 Median $6.31 Typical High $6.31 | Professional | 54 · Surgery only | $2.75 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $0.55 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.36 | $0.83 | $0.83 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $7.76 Median $10.72 Typical High $12.59 | Facility | None | $7.76 | $10.72 | $12.59 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $5.25 | Professional | None | $3.63 | $3.63 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.69 Typical High $4.27 | Professional | None | $2.04 | $2.69 | $4.27 |
Where Rhode Island sits
The same service costs 3.8 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
$8.32
RI $8.32NY $2.19
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.