How much rates vary
Facilitymedian $30 · 10th to 90th $22 to $35Professionalmedian $15 · 10th to 90th $6 to $29
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 $10.23 Median $28.84 Typical High $28.84 | Professional | None | $10.23 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $5.13 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $2.04 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.76 Median $21.88 Typical High $21.88 | Professional | 54 · Surgery only | $7.76 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.55 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $1.55 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.02 | $2.88 | $2.88 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $22.39 Median $30.20 Typical High $35.48 | Facility | None | $22.39 | $30.20 | $35.48 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $14.79 | Professional | None | $10.23 | $10.23 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.59 Typical High $12.02 | Professional | None | $5.75 | $7.59 | $12.02 |
Where Rhode Island sits
The same service costs 4.5 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
$27.54
RI $27.54NY $6.17
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.