How much rates vary
Facilitymedian $66 · 10th to 90th $48 to $78Professionalmedian $33 · 10th to 90th $14 to $33
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 $17.78 Median $33.11 Typical High $33.11 | Professional | None | $17.78 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $11.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $4.47 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $25.12 Typical High $25.12 | Professional | 54 · Surgery only | $16.98 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $3.39 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.24 | $3.31 | $3.31 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $77.62 | Facility | None | $47.86 | $66.07 | $77.62 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | None | $22.39 | $22.39 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $26.30 | Professional | None | $12.59 | $16.60 | $26.30 |
Where Rhode Island sits
The same service costs 2.6 times more in Hawaii 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· 6th of 51
$33.11
HI $35.48NY $13.49
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.