How much rates vary
Facilitymedian $17 · 10th to 90th $12 to $19Professionalmedian $9 · 10th to 90th $3 to $14
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 $5.75 Median $13.80 Typical High $13.80 | Professional | None | $5.75 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $2.82 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $1.12 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.27 Median $10.23 Typical High $10.23 | Professional | 54 · Surgery only | $4.27 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $0.85 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $0.56 | $1.38 | $1.38 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $19.50 | Facility | None | $12.30 | $16.60 | $19.50 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.13 | Professional | None | $5.75 | $5.75 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $6.76 | Professional | None | $3.24 | $4.17 | $6.76 |
Where Rhode Island sits
The same service costs 4.1 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
$13.80
RI $13.80NY $3.39
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.